Jennifer Coria

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801114386 Issued in MI

Practice address

2566 Woodmeadow Dr SE
Grand Rapids, MI 49546-8031

Phone

(616) 719-0194

NPI assigned

Jul 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• JC Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grand Rapids, MI
  • NPI 1942068754
  NPD Authorized official
• Quality Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Detroit, MI
  • NPI 1558493916
  NPD (past)

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

{
    "created_epoch": "1562976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1376195909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 WOODBURN DR SE APT 11",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495464385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 WOODMEADOW DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468031",
            "telephone_number": "616-719-0194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 68th St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495486927",
            "country_code": "US",
            "telephone_number": "616-455-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORIA",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-13",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcos Itamar Cordoba Munoz, M.D.
• Bianca Cordova, OTD, OTRL
• Core Counseling Center LLC
• Wendy Corelli, MS, AT., ATC
• Joseph Michael Corey, MD
• Tabitha Corlett, RN
• Jonathan P Corley, PA-C
• Jovana Cornejo
• Albert S Cornelius, MD
• Karen B Cornelius

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.