Organization Active NPI

Acton Family Counseling

  • Clinical Social Worker
  • Jackson, MI
National Provider Identifier
1497229975
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ACTON FAMILY COUNSELING
Practice address
2301 Ridgeway Rd
Jackson, MI 49203-5148
Phone
(517) 206-7879
NPI assigned
Jan 17, 2019
Last updated
Mar 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julie Laforest
Title
Agent
Phone
(313) 633-4358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2301 Ridgeway Rd
Jackson, MI 49203-5148

Mailing address

2301 Ridgeway Rd
Jackson, MI 49203-5148
Phone (517) 206-7879

Other identifiers 1

IdentifierTypeStateIssuer
6401010908MedicaidMI

National Provider Directory

National Provider Directory

Locations

2301 Ridgeway Rd
Jackson, MI 49203
Phone (517) 206-7879

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1497229975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 RIDGEWAY RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492035148",
            "telephone_number": "517-206-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 RIDGEWAY RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492035148",
            "telephone_number": "517-206-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTON FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "LAFOREST",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "313-633-4358"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6401010908",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.