Organization Active NPI

Jr Counseling

  • Mental Health Counselor
  • Clinton Township, MI
National Provider Identifier
1356800809
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JR COUNSELING
Practice address
37400 Garfield Rd Ste 325
Clinton Township, MI 48036-3677
Phone
(586) 804-6209
NPI assigned
Mar 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Jessica Ross, LPCNPI 1144696279
Title
Owner/Provider
Phone
(313) 918-6740

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

37400 Garfield Rd Ste 325
Clinton Township, MI 48036-3677

Mailing address

13935 Valusek Dr
Sterling Heights, MI 48312-6573
Phone (313) 918-6740

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240722002480 MI Part B Supplier - Clinic/Group Practice 1254877640 Receives reassigned benefits from 1 practitioner
Practice locations: Clinton Township, MI

National Provider Directory

National Provider Directory

Locations

37400 Garfield Rd
Ste 325
Clinton Twp, MI 48036
Phone (586) 275-2481

39393 Van Dyke Ave
Ste 209
Sterling Heights, MI 48313
Phone (586) 274-4394

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1356800809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13935 VALUSEK DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483126573",
            "telephone_number": "313-918-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37400 GARFIELD RD STE 325",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363677",
            "telephone_number": "586-804-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "313-918-6740",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.