Active NPI
Jennifer Louise Rein
- Mental Health Counselor
- Chesterfield, MI
National Provider Identifier
1306623673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6451023276
- Practice address
- 34474 23 Mile Rd
Chesterfield, MI 48047-2003 - Phone
- (586) 996-2273
- NPI assigned
- Sep 11, 2023
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6451023276 | MI | Primary |
Addresses
Primary practice location
34474 23 Mile Rd
Chesterfield, MI 48047-2003
Mailing address
58965 Ivy CT, New Haven, Mi 48048
New Haven, MI 48048
Phone (586) 215-5075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451023276 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Counseling, Inc | Multi-Specialty | Current | Accepting new patients |
Locations
34474 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 996-2273
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1306623673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58965 IVY CT, NEW HAVEN, MI 48048",
"city": "NEW HAVEN",
"state": "MI",
"postal_code": "48048",
"telephone_number": "586-215-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34474 23 MILE RD",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480472003",
"telephone_number": "586-996-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIN",
"first_name": "JENNIFER",
"middle_name": "LOUISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-11",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6451023276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.