Organization Active NPI

Jurasek Wellness Consulting LLC

  • Clinical Social Worker
  • Lansing, MI
National Provider Identifier
1619656428
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JURASEK WELLNESS CONSULTING LLC
Practice address
1515 Spencer St
Lansing, MI 48915-1269
Phone
(517) 262-5286
NPI assigned
Jul 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Mr. Chris Jurasek, LMSW
Title
Social Worker
Phone
(517) 262-5286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1515 Spencer St
Lansing, MI 48915-1269

Mailing address

1515 Spencer St
Lansing, MI 48915-1269
Phone (517) 262-5286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241211002766 MI Part B Supplier - Clinic/Group Practice 5890221089 Practice locations: Lansing, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1619656428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SPENCER ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489151269",
            "telephone_number": "517-262-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 SPENCER ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489151269",
            "telephone_number": "517-262-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JURASEK WELLNESS CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "JURASEK",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "517-262-5286",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.