Active NPI
Sonia Michelle Jennings
- Professional Counselor
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- L2431859
- Practice address
- 2727 2ND Ave
Suite #300
Detroit, MI 48201-2658 - Phone
- (313) 578-6117
- Fax
- (313) 963-0103
- NPI assigned
- Nov 20, 2013
- Last updated
- Nov 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | L2431859 | MI | Primary |
Addresses
Primary practice location
2727 2ND Ave
Suite #300
Detroit, MI 48201-2658
Mailing address
19707 Klinger St
Detroit, MI 48234-1770
Phone (313) 784-1635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Ford PL
Detroit, MI 48202-3067
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2431859 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System-School Based Health Initiative | Professional | Current | Accepting new patients |
Locations
1000 Scotten St
Detroit, MI 48209
Phone (313) 457-2797
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
23400 Hughes Ave
Hazel Park, MI 48030
Phone (248) 309-4757
Interoperability endpoints
- sjennings1133377@direct.hfhs.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Detroit, MI
- NPI 1104010578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384905600000",
"number": "1558791012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19707 KLINGER ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482341770",
"telephone_number": "313-784-1635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 2ND AVE",
"address_2": "SUITE #300",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012658",
"telephone_number": "313-578-6117",
"fax_number": "313-963-0103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "SONIA",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-20",
"last_updated": "2013-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "L2431859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.