Organization Active NPI

Therapy With Danica

  • Social Worker
  • Ypsilanti, MI
National Provider Identifier
1629830716
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
THERAPY WITH DANICA
Practice address
2224 Woodview Dr Apt 329
Ypsilanti, MI 48198-6808
Phone
(517) 234-3482
NPI assigned
Jan 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Maria Danica San Juan, LMSW
Title
Owner
Phone
(517) 234-3482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

2224 Woodview Dr Apt 329
Ypsilanti, MI 48198-6808

Mailing address

1643 Holmes Rd # 2010
Ypsilanti, MI 48198-4155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251205003577 MI Part B Supplier - Clinic/Group Practice 7416440599 Receives reassigned benefits from 1 practitioner
Practice locations: Ypsilanti, MI

National Provider Directory

National Provider Directory

Locations

1643 Holmes Rd
#2010
Ypsilanti, MI 48198

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": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1629830716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 HOLMES RD # 2010",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481984155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 WOODVIEW DR APT 329",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481986808",
            "telephone_number": "517-234-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY WITH DANICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "SAN JUAN",
        "authorized_official_first_name": "MARIA DANICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-234-3482",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.