Individual provider Active NPI

Janice Adria Eickholt-March, LMSW

  • Clinical Social Worker
  • New Lothrop, MI
National Provider Identifier
1326418534
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801104034 Issued in MI
Practice address
19507 Bishop Rd
New Lothrop, MI 48460-9630
Phone
(989) 818-7584
NPI assigned
Sep 30, 2015
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2-01369 MI
Clinical Social Worker 1041C0700X 6801104034 MI Primary

Addresses

Primary practice location

19507 Bishop Rd
New Lothrop, MI 48460-9630

Mailing address

19507 Bishop Rd
New Lothrop, MI 48460-9630
Phone (810) 818-7584

Other identifiers 1

IdentifierTypeStateIssuer
2-01369OtherMICERTIFIED DRUG AND ALCOHOL COUNSELOR

Other names 1

  • Janice Adria Eickholt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2-01369MIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Janice Eickholt-March LMSW, Cadc CurrentSince Mar 1, 2021 Accepting new patients

Locations

815 W Broad St
Chesaning, MI 48616
Phone (810) 818-7584

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": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1326418534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19507 BISHOP RD",
            "city": "NEW LOTHROP",
            "state": "MI",
            "postal_code": "484609630",
            "telephone_number": "810-818-7584",
            "fax_number": "810-228-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19507 BISHOP RD",
            "city": "NEW LOTHROP",
            "state": "MI",
            "postal_code": "484609630",
            "telephone_number": "989-818-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICKHOLT-MARCH",
        "first_name": "JANICE",
        "middle_name": "ADRIA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "2-01369",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801104034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED DRUG AND ALCOHOL COUNSELOR",
            "identifier": "2-01369",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "EICKHOLT",
            "middle_name": "ADRIA",
            "credential": "LMSW, CADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Lothrop, MI

Sources for this page

Verify at the official NPI Registry.