Active NPI
Jennifer Anne Colberg, LPC, LMFT
- Counselor
- Battle Creek, MI
National Provider Identifier
1366866337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401012491
- Practice address
- 181 Emmett St W
Battle Creek, MI 49037-2963 - Phone
- (269) 966-2600
- Fax
- (269) 965-4773
- NPI assigned
- Feb 12, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401012491 | MI | Primary |
| Marriage & Family Therapist | 106H00000X | 4101006564 | MI |
Addresses
Primary practice location
181 Emmett St W
Battle Creek, MI 49037-2963
Mailing address
181 Emmett St W
Battle Creek, MI 49037-2963
Phone (269) 966-2600
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401012491 | MI | MD | Counselor |
| 4101006564 | MI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444780800000",
"number": "1366866337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 EMMETT ST W",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490372963",
"telephone_number": "269-966-2600",
"fax_number": "269-965-4773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 EMMETT ST W",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490372963",
"telephone_number": "269-966-2600",
"fax_number": "269-965-4773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBERG",
"first_name": "JENNIFER",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "LPC, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-12",
"last_updated": "2015-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401012491",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "4101006564",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.