Active NPI
Jenna Ruth Sielaff, LLMFT
- Marriage & Family Therapist
- Highland, MI
National Provider Identifier
1306270590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4101006585
- Practice address
- 2628 S Milford Rd
Highland, MI 48357-4938 - Phone
- (810) 494-7180
- NPI assigned
- Aug 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4101006585 | MI | Primary |
Addresses
Primary practice location
2628 S Milford Rd
Highland, MI 48357-4938
Mailing address
1123 Fountain View Cir
South Lyon, MI 48178-1568
Phone (616) 460-4022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 5, 2024 through Sep 5, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4101006585 | MI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430697600000",
"number": "1306270590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1123 FOUNTAIN VIEW CIR",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "481781568",
"telephone_number": "616-460-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2628 S MILFORD RD",
"city": "HIGHLAND",
"state": "MI",
"postal_code": "483574938",
"telephone_number": "810-494-7180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIELAFF",
"first_name": "JENNA",
"middle_name": "RUTH",
"credential": "LLMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-25",
"last_updated": "2015-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "4101006585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.