NPIMap

Organization Active NPI

Giesken Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clarkston, MI
National Provider Identifier
1336668565
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
6801091509 Issued in MI
Legal business name
GIESKEN COUNSELING SERVICES LLC
Practice address
4545 Clawson Tank Dr Ste D
Clarkston, MI 48346-2583
Phone
(810) 626-5191
NPI assigned
Sep 19, 2017
Last updated
Nov 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Jerilynn Jacobson, LMSWNPI 1275950032
Title
Social Worker
Phone
(989) 397-0617

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6801091509 MI Primary

Addresses

Primary practice location

4545 Clawson Tank Dr Ste D
Clarkston, MI 48346-2583

Mailing address

4545 Clawson Tank Dr Ste D
Clarkston, MI 48346-2583
Phone (810) 626-5191

Other practice location 1

8285 S Saginaw St Ste 102
Grand Blanc, MI 48439-2436
Phone (810) 626-5191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180831000978 MI Part B Supplier - Clinic/Group Practice 5799035390 Receives reassigned benefits from 17 practitioners
Practice locations: Grand Blanc, MI; Clarkston, MI; Flint, MI

National Provider Directory

National Provider Directory
Tax ID family
Giesken Counseling Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4545 Clawson Tank Dr
Ste D
Clarkston, MI 48346
Phone (810) 626-5191

5840 Lorac Dr
Ste 8
Clarkston, MI 48346
Phone (989) 397-0617

6678 Dixie Hwy
Ste 110
Clarkston, MI 48346
Phone (989) 397-0617

8949 Dixie Hwy
Clarkston, MI 48348
Phone (810) 626-5191

8285 S Saginaw St
Ste 102
Grand Blanc, MI 48439
Phone (810) 626-5191

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1336668565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 CLAWSON TANK DR STE D",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462583",
            "telephone_number": "810-626-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 CLAWSON TANK DR STE D",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462583",
            "telephone_number": "810-626-5191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8285 S Saginaw St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484392436",
            "country_code": "US",
            "telephone_number": "810-626-5191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GIESKEN COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2022-11-04",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "JERILYNN",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "989-397-0617",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "6801091509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.

Verify at the official NPI Registry.