This Iz Me

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

THIS IZ ME

Practice address

939 Waterloo Ave
Monroe, MI 48161-1660

Phone

(734) 652-4573

Fax

(734) 621-4026

NPI assigned

Dec 14, 2021

Organization subpart

No

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

Authorized official

Name

Jennifer A Kelley, LMSWNPI 1659939205

Title

Owner

Phone

(734) 652-4573

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Ann Kelley, LMSW

  • Social Worker
  • Monroe, MI
  • NPI 1659939205
  NPD Authorized official

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1508525858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 WATERLOO AVE",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481611660",
            "telephone_number": "734-652-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 WATERLOO AVE",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481611660",
            "telephone_number": "734-652-4573",
            "fax_number": "734-621-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIS IZ ME",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-652-4573",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riann Tennyson, LLMSW
• The Hearing Loss Treatment Center
• The Surgical Institute of Monroe Ambulatory Surgery Center LLC
• The Young Men'S Christian Association of Monroe, Michigan
• Therapy Essentials
• April Thomas
• Jean E Thomas, M.D.
• Wendy Thompson-Burrel
• Debra Susan Thompson, C.O.T.A
• Katherine Marie Thorpe, LLMSW

• Adult Mental Health Clinic/Center in Monroe, MI
• Providers in Monroe, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.