Individual provider Active NPI

Jennifer M Ross-Music, LMSW

  • Clinical Social Worker
  • Brighton, MI
National Provider Identifier
1326675000
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090480 Issued in MI
Practice address
710 E Grand River Ave
Brighton, MI 48116-1820
Phone
(810) 599-9591
NPI assigned
Mar 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801090480 MI Primary

Addresses

Primary practice location

710 E Grand River Ave
Brighton, MI 48116-1820

Mailing address

710 E Grand River Ave
Brighton, MI 48116-1820
Phone (810) 599-9591

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrossmusic@evolvebehavioral.com Direct

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
I20200604002654 MI Practitioner - Clinical Social Worker 3274954961 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Riley, PLLC CurrentSince Apr 7, 2020 Accepting new patients
Med Sports Vantage PLLC Past Accepting new patients
Two Roads Wellness Center PLLC PastSince Mar 29, 2020 Accepting new patients

Locations

333 E Grand River Ave
Brighton, MI 48116
Phone (810) 599-9591

710 E Grand River Ave
Ste 1
Brighton, MI 48116
Phone (810) 599-9591

Organizations & group practices 3

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1326675000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E GRAND RIVER AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161820",
            "telephone_number": "810-599-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E GRAND RIVER AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161820",
            "telephone_number": "810-599-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS-MUSIC",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrossmusic@evolvebehavioral.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "710 E Grand River Ave",
            "city": "Brighton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481161820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.