Jennifer Bazner, M.A., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401009854 Issued in MI

Practice address

706 Winchell St SE
Grand Rapids, MI 49507-3227

Phone

(616) 446-1117

Fax

(616) 741-1706

NPI assigned

Jan 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Jennifer Bazner, Ma, LPC LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1750943262
  NPD Authorized official

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1417134453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 WINCHELL ST SE APT SUITE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073227",
            "telephone_number": "616-446-1117",
            "fax_number": "616-741-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 WINCHELL ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073227",
            "telephone_number": "616-446-1117",
            "fax_number": "616-741-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZNER",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "M.A., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401009854",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401009854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlynn Baynard
• Cheryl Diane Bazan, PT, DPT, CKTP
• Deanna Nicole Bazan
• Garrett David Bazany, PA-C
• Sophia G Bazany, PT, DPT
• Kaylee Bazuin
• Sawsan Bazzi-Ismail
• Aida Jamal Bazzi, PHARM D. CANDIDATE
• Alexa Renee Bazzi
• BC Price Professional Services LLC

• Mental Health Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.