Jennifer Lynn Kent-Bryant, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801058916 Issued in MI

Practice address

8245 Holly Rd Ste 200
Grand Blanc, MI 48439-2483

Phone

(810) 242-3740

NPI assigned

Mar 11, 2024

Last updated

Mar 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  Medicare reassignment NPD

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1427816826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11223 OLD BRIDGE RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391057",
            "telephone_number": "810-845-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 HOLLY RD STE 200",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392483",
            "telephone_number": "810-242-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT-BRYANT",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6801058916",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801058916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Waurzyniak Kelly, LMSW
• Veronica Kelly, M.A.
• Nicole Kemp
• Anne Elise Kender, DPT
• Seaera Sueann Kennedy
• Shanta Kent
• Raedeane Kenway
• Kurt Keogh, MD
• Margee Keoshian
• Brittany Keough, CRNA

• Social Worker in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.