Individual provider Active NPI

Jessica Edwards, LPC

  • Mental Health Counselor
  • Ann Arbor, MI
National Provider Identifier
1396330775
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401014470 Issued in MI
Practice address
2890 Carpenter Rd Ste 1500
Ann Arbor, MI 48108-1196
Phone
(734) 733-2426
NPI assigned
Mar 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401014470 MI
Mental Health Counselor 101YM0800X 6401014470 MI Primary

Addresses

Primary practice location

2890 Carpenter Rd Ste 1500
Ann Arbor, MI 48108-1196

Mailing address

9860 Martz Rd
Ypsilanti, MI 48197-9780
Phone (734) 733-2426

Other practice location 1

9860 Martz Rd
Ypsilanti, MI 48197-9780
Phone (734) 733-2426

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
6401014470MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ypsi Career and Counseling Services, LLC Counselor CurrentSince Oct 1, 2022 Accepting new patients

Locations

3830 Packard St
Ste 120
Ann Arbor, MI 48108

2890 Carpenter Rd
Ste 1500
Ann Arbor, MI 48108
Phone (734) 255-3342

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.

NPI Registry JSON

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

{
    "created_epoch": "1615075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1396330775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9860 MARTZ RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979780",
            "telephone_number": "734-733-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 CARPENTER RD STE 1500",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081196",
            "telephone_number": "734-733-2426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9860 Martz Rd",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481979780",
            "country_code": "US",
            "telephone_number": "734-733-2426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JESSICA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-07",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401014470",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401014470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.