Jason E Baniukaitis, MA, LLP
Individual provider Active NPI Counseling Psychologist · Ada, MI
NPI 1467331306 · NPPES record last updated Sep 2, 2026
Key facts
- NPI
- 1467331306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- License
- 6361008388 (MI)
- Practice address
- 7195 Thornapple River Dr SE Ste C
Ada, MI 49301-8411 - Phone
- (616) 929-0248
- NPI assigned
- Aug 27, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6362010197 | MI | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Sana Initiative, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6361008388 | MI | Yes |
Addresses
Primary practice location
7195 Thornapple River Dr SE Ste C
Ada, MI 49301-8411
Mailing address
4165 Rex Valley Dr NE
Rockford, MI 49341-8511
Phone (616) 826-3045
Other providers in Ada, MI
- Sandra Linn Andrews
- Sarah J Ash
- Ashley Noe Therapy
- Jana Rene Baatenburg
- Lara Jean Baatenburg
- Ashley Barcroft
- Alexa Marie Bates
- Amy Renae Bell
- Mary Kathryn Bennett
- Madison Victoria Berridge
All providers in Ada, MI · Counseling Psychologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.