Active NPI
Wasserman Wellness LLC
- Professional Counselor
- Rochester Hills, MI
National Provider Identifier
1639091267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- WASSERMAN WELLNESS LLC
- Practice address
- 1460 Walton Blvd Ste 202
Rochester Hills, MI 48309-1779 - Phone
- (947) 285-1219
- Fax
- (947) 237-4408
- NPI assigned
- Jul 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jill Wasserman, LPC
- Title
- Owner
- Phone
- (947) 285-1219
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1460 Walton Blvd Ste 202
Rochester Hills, MI 48309-1779
Mailing address
1460 Walton Blvd Ste 202
Rochester Hills, MI 48309-1779
Phone (947) 285-1219
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785110400000",
"number": "1639091267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 WALTON BLVD STE 202",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483091779",
"telephone_number": "947-285-1219",
"fax_number": "947-237-4408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 WALTON BLVD STE 202",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483091779",
"telephone_number": "947-285-1219",
"fax_number": "947-237-4408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASSERMAN WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-27",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A",
"authorized_official_last_name": "WASSERMAN",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "947-285-1219",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.