Jill Magrum, MA, CAADC-D

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

2236 E Mitchell Rd
Petoskey, MI 49770-9604

Phone

(231) 347-9880

Fax

(231) 347-9313

NPI assigned

Oct 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Harbor Hall, Inc.

  • Family Medicine Physician
  • Petoskey, MI
  • NPI 1851865638
  NPD (past)

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1609591833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 E MITCHELL RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709604",
            "telephone_number": "231-347-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 E MITCHELL RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709604",
            "telephone_number": "231-347-9880",
            "fax_number": "231-347-9313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 N Main St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Cheboygan",
            "state": "MI",
            "postal_code": "497211162",
            "country_code": "US",
            "telephone_number": "231-597-9235",
            "fax_number": "231-627-5201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGRUM",
        "first_name": "JILL",
        "credential": "MA, CAADC-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M. Elizabeth Swenor, DO, PC
• Shanna Macclaren, FNP-C
• Lisa Sonia Maclellan, FNP-C
• Elizabeth Madell, LMT
• Elizabeth Barron Madison, MD, MA
• Mallory Hallett Mahoney, ND, RAC
• Aubrey Jo Major
• Mark Thomas Makela, D.D.S
• Megan Makela
• Erin Elizabeth Mallekoote, OTRL

• Addiction (Substance Use Disorder) Counselor in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.