Josie Maria Dejong, MA LPC SCL NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401010939 Issued in MI

Practice address

1138 Fisk St
Niles, MI 49120-9532

Phone

(269) 240-7309

Fax

(269) 683-1014

NPI assigned

Jul 28, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Life Steps Family Counseling

  • Mental Health Counselor
  • Stevensville, MI
  • NPI 1699646547
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1568740256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 FISK ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491209532",
            "telephone_number": "269-240-7309",
            "fax_number": "269-683-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 FISK ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491209532",
            "telephone_number": "269-240-7309",
            "fax_number": "269-683-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJONG",
        "first_name": "JOSIE",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "MA LPC SCL NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401010939",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MI",
            "license": "SC0000574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lavonne Davis, LLMSW
• Jacob Davis, PHARM.D
• Simona Davis, CPHT
• Jersie Dawson
• Filipe De Paula Santos
• Bobbie Denney
• Paul V Detrisac, MD
• Marcia Deuerling, R.D.
• Mary L Digangi, ED.D
• Dennis L Disch, M.D.

• Professional Counselor in Niles, MI
• Providers in Niles, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.

Verify at the official NPI Registry.