Individual provider Active NPI

Eric Slisher, LPC

  • Counselor
  • Jackson, MI
National Provider Identifier
1417377185
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401018920 Issued in MI
Practice address
2652 Spring Arbor Rd
Jackson, MI 49203-3604
Phone
(313) 883-9031
NPI assigned
Apr 22, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 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 6401018920 MI Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

2652 Spring Arbor Rd
Jackson, MI 49203-3604

Mailing address

1729 S Dearing Rd
Parma, MI 49269-9405
Phone (313) 883-9031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240103000442 MI Practitioner - Mental Health Counselor 6709236722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2652 Spring Arbor Rd
Jackson, MI 49203-3604
Phone (313) 883-9031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401018920MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Counseling PLLC Counselor CurrentSince Dec 11, 2023 Accepting new patients

Locations

2652 Spring Arbor Rd
Jackson, MI 49203
Phone (313) 883-9031

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": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1417377185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 S DEARING RD",
            "city": "PARMA",
            "state": "MI",
            "postal_code": "492699405",
            "telephone_number": "313-883-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2652 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033604",
            "telephone_number": "313-883-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLISHER",
        "first_name": "ERIC",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-22",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401018920",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.