Individual provider Active NPI

Jennifer Lelli

  • Behavior Analyst
  • Livonia, MI
National Provider Identifier
1356896427
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7401001371 Issued in MI
Practice address
20212 Saint Francis St
Livonia, MI 48152-2349
Phone
(248) 730-5625
NPI assigned
Aug 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X MI
Behavior Analyst 103K00000X 7401001371 MI Primary

Addresses

Primary practice location

20212 Saint Francis St
Livonia, MI 48152-2349

Mailing address

20212 Saint Francis St
Livonia, MI 48152-2349
Phone (248) 730-5625

Other identifiers 1

IdentifierTypeStateIssuer
247200000XOtherMI247200000X/TECHNICIAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7401001371MIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Plus Healthcare Services LLC Behavior Analyst Past Accepting new patients
Mercy Plus PastSince Mar 21, 2021 Accepting new patients
Mercy Plus Health Services Behavior Analyst PastSince Nov 8, 2020 Accepting new patients

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": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1356896427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20212 SAINT FRANCIS ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522349",
            "telephone_number": "248-730-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20212 SAINT FRANCIS ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522349",
            "telephone_number": "248-730-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELLI",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401001371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "247200000X/TECHNICIAN",
            "identifier": "247200000X",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.