Active NPI
Juanita Kay Meyerink, LMSW
- Clinical Social Worker
- Jackson, MI
National Provider Identifier
1356863484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801100819
- Practice address
- 505 N Jackson St
Jackson, MI 49201-1266 - Phone
- (517) 748-5500
- Fax
- (517) 783-2728
- NPI assigned
- Jul 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801100819 | MI | Primary |
Addresses
Primary practice location
505 N Jackson St
Jackson, MI 49201-1266
Mailing address
12901 E Michigan Ave
Grass Lake, MI 49240-9283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801111105 | Other | MI | LMSW LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mcaryl@cfhinc.org | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
180 W Michigan Ave
Suite 703
Jackson, MI 49201-1352
Phone (517) 240-1367
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801100819 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Mindset Therapy, LLC | Clinical | Current | Accepting new patients |
Locations
180 W Michigan Ave
Ste 703
Jackson, MI 49201
Phone (517) 240-1367
Interoperability endpoints
- jmeyerink632124@direct.hfhs.org
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Grass Lake, MI
- NPI 1740908474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646352000000",
"number": "1356863484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12901 E MICHIGAN AVE",
"city": "GRASS LAKE",
"state": "MI",
"postal_code": "492409283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N JACKSON ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011266",
"telephone_number": "517-748-5500",
"fax_number": "517-783-2728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERINK",
"first_name": "JUANITA",
"middle_name": "KAY",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-11",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801100819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMSW LICENSE",
"identifier": "6801111105",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mcaryl@cfhinc.org",
"affiliation": "N",
"endpointDescription": "Organization website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "505 N Jackson St",
"city": "Jackson",
"state": "MI",
"country_code": "US",
"postal_code": "492011266",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.