Active NPI
MRJ Counseling LLC
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1306737796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MRJ COUNSELING LLC
- Practice address
- 330 E Beltline Ave NE Ste 300
Grand Rapids, MI 49506-1267 - Phone
- (231) 920-3183
- NPI assigned
- Jul 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michele Rae Anne Jackson, LMSW, PMH-C
- Title
- Owner
- Phone
- (231) 920-3183
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
330 E Beltline Ave NE Ste 300
Grand Rapids, MI 49506-1267
Mailing address
2721 Albert Dr SE
East Grand Rapids, MI 49506-4707
Phone (231) 920-3183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2100 Plainfield Ave NE
Grand Rapids, MI 49505
Phone (231) 920-3183
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1598193773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752451200000",
"number": "1306737796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2721 ALBERT DR SE",
"city": "EAST GRAND RAPIDS",
"state": "MI",
"postal_code": "495064707",
"telephone_number": "231-920-3183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 E BELTLINE AVE NE STE 300",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495061267",
"telephone_number": "231-920-3183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MRJ COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-14",
"last_updated": "2025-07-14",
"certification_date": "2025-07-13",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "MICHELE",
"authorized_official_middle_name": "RAE ANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "231-920-3183",
"authorized_official_credential": "LMSW, PMH-C"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.