Individual provider Active NPI

Jason Vannest, PH.D, LPC, RPT-S

  • Mental Health Counselor
  • Rochester Hills, MI
National Provider Identifier
1275396665
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401010120 Issued in MI
Practice address
1955 W Hamlin Rd
Rochester Hills, MI 48309-3338
Phone
(810) 516-8877
NPI assigned
Jan 30, 2024
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401010120 MI Primary

Addresses

Primary practice location

1955 W Hamlin Rd
Rochester Hills, MI 48309-3338

Mailing address

2880 Baytree CT
Rochester, MI 48306-2300
Phone (810) 516-8877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403000533 MI Practitioner - Mental Health Counselor 5193163673 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6401010120MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harborpointe Therapies PLC Mental Health CurrentSince Feb 12, 2024 Accepting new patients

Locations

1955 W Hamlin Rd
Rochester Hills, MI 48309
Phone (248) 505-4363

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1275396665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 BAYTREE CT",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483062300",
            "telephone_number": "810-516-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 W HAMLIN RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093338",
            "telephone_number": "810-516-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNEST",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "PH.D, LPC, RPT-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-02-22",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401010120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.