Individual provider Active NPI

Alissa Jahn, MA, LLPC, ATR-P

  • Counselor
  • Whitmore Lake, MI
National Provider Identifier
1518770767
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6451024187 Issued in MI
Practice address
9318 Main St
Whitmore Lake, MI 48189-9403
Phone
(248) 474-4701
NPI assigned
Jan 30, 2025
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6451024187 MI Primary

Addresses

Primary practice location

9318 Main St
Whitmore Lake, MI 48189-9403

Mailing address

29887 W 11 Mile Rd
Farmington Hills, MI 48336-1309
Phone (248) 474-4701

Other practice location 1

400 E Grand River Ave
Brighton, MI 48116-1516
Phone (248) 474-4701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6451024187MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Center of Southeastern Michigan PastSince Feb 2, 2025 Accepting new patients
Samaritan Counseling Services PastSince Feb 2, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1518770767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29887 W 11 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361309",
            "telephone_number": "248-474-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9318 MAIN ST",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481899403",
            "telephone_number": "248-474-4701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481161516",
            "country_code": "US",
            "telephone_number": "248-474-4701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAHN",
        "first_name": "ALISSA",
        "credential": "MA, LLPC, ATR-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451024187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitmore Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.