Active NPI
Mi Healing Hope, LLC
- Clinical Social Worker
- Mayville, MI
National Provider Identifier
1326858358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MI HEALING HOPE, LLC
- Practice address
- 2962 W Blackmore Rd
Mayville, MI 48744-9415 - Phone
- (989) 293-5449
- NPI assigned
- Jan 11, 2025
- Last updated
- Mar 27, 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
- Jessica Glenn
- Title
- Owner
- Phone
- (989) 293-5449
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
2962 W Blackmore Rd
Mayville, MI 48744-9415
Mailing address
2962 W Blackmore Rd
Mayville, MI 48744-9415
Phone (989) 293-5449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743033600000",
"number": "1326858358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2962 W BLACKMORE RD",
"city": "MAYVILLE",
"state": "MI",
"postal_code": "487449415",
"telephone_number": "989-293-5449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2962 W BLACKMORE RD",
"city": "MAYVILLE",
"state": "MI",
"postal_code": "487449415",
"telephone_number": "989-293-5449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MI HEALING HOPE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-11",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A",
"authorized_official_last_name": "GLENN",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "989-293-5449"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.