Jennifer Musztuk

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401017061 Issued in MI

Practice address

31201 Chicago Rd S Ste A201
Warren, MI 48093-5552

Phone

(586) 764-1487

Fax

(248) 548-5309

NPI assigned

Mar 10, 2015

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

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Mindful Self LLCGroup PAC ID 1456575711, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• The Mindful Self, LLC

  • Professional Counselor
  • Warren, MI
  • NPI 1477805463
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1447643879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31201 CHICAGO RD S STE A201",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935552",
            "telephone_number": "586-764-1487",
            "fax_number": "248-548-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31201 CHICAGO RD S STE A201",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935552",
            "telephone_number": "586-764-1487",
            "fax_number": "248-548-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSZTUK",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401017061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Scott Murray
• Mary Katherine Murray, LMSW
• Shawqi Musallam
• Lori Anne Musket, OTR/L
• Mustafizur Choudhury LLC
• My Care Plus LLC
• My Home MD, PLCC
• My Independent Living Inc.
• My Warren Dental
• Myangels Workshop

• Professional Counselor in Warren, MI
• Providers in Warren, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.