Individual provider Active NPI

Jacqueline Carrington Dwyer, MS, LPC, LBSW

  • Mental Health Counselor
  • Saginaw, MI
National Provider Identifier
1629108204
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401002357 Issued in MI
Practice address
1321 S Fayette St
Saginaw, MI 48602-1447
Phone
(989) 792-8000
Fax
(989) 792-8445
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401002357 MI Primary

Addresses

Primary practice location

1321 S Fayette St
Saginaw, MI 48602-1447

Mailing address

304 Longview St
Midland, MI 48642-5929
Phone (989) 496-7229

Other names 1

  • Ms. Jacqueline Carrington Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709001179 MI Practitioner - Mental Health Counselor 7012143134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family and Childrens Services Mid-Michigan FCSMGroup PAC ID 5092794925, 5 clinicians

Practice addresses (Care Compare)

1714 Eastman Ave
Midland, MI 48640-4216
Phone (989) 631-5390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Family & Childrens Services Mid-Michigan FCSM Mental Health CurrentSince Jun 16, 2025 Accepting new patients

Locations

1714 Eastman Ave
Midland, MI 48640
Phone (989) 631-5390

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1629108204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 LONGVIEW ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486425929",
            "telephone_number": "989-496-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 S FAYETTE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486021447",
            "telephone_number": "989-792-8000",
            "fax_number": "989-792-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "JACQUELINE",
        "middle_name": "CARRINGTON",
        "name_prefix": "Ms.",
        "credential": "MS, LPC, LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401002357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "CARRINGTON",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.