Active NPI
Jesse Kauffman, LMSW
- Social Worker
- Ann Arbor, MI
National Provider Identifier
1487150769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801098893
- Practice address
- 2800 S State St Ste 215
Ann Arbor, MI 48104-7103 - Phone
- (734) 210-1285
- NPI assigned
- Apr 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801098893 | MI | Primary |
Addresses
Primary practice location
2800 S State St Ste 215
Ann Arbor, MI 48104-7103
Mailing address
2208 Independence Blvd
Ann Arbor, MI 48104-6441
Phone (419) 575-1556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atelier Therapy, PLLC | Current | Accepting new patients |
Locations
2800 S State St
Ste 215
Ann Arbor, MI 48104
Phone (734) 547-3990
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ann Arbor, MI
- NPI 1700557394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1487150769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 INDEPENDENCE BLVD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481046441",
"telephone_number": "419-575-1556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 S STATE ST STE 215",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481047103",
"telephone_number": "734-210-1285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFFMAN",
"first_name": "JESSE",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-04",
"last_updated": "2021-03-22",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801098893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.