Organization Active NPI

Jill Amico, Ma, LPC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochester, MI
National Provider Identifier
1639886385
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JILL AMICO, MA, LPC
Practice address
805 Oakwood Dr Ste 210
Rochester, MI 48307-1359
Phone
(248) 495-0977
NPI assigned
Nov 2, 2022
Last updated
May 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Jill Amico, MA, LPCNPI 1457874281
Title
Counselor/Owner
Phone
(248) 495-0977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

805 Oakwood Dr Ste 210
Rochester, MI 48307-1359

Mailing address

805 Oakwood Dr Ste 210
Rochester, MI 48307-1359
Phone (248) 495-0977

Other identifiers 1

IdentifierTypeStateIssuer
1457874281OtherTYPE 1 NPI

National Provider Directory

National Provider Directory

Locations

805 Oakwood Dr
Ste 210
Rochester, MI 48307
Phone (248) 495-0977

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1639886385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 OAKWOOD DR STE 210",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071359",
            "telephone_number": "248-495-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 OAKWOOD DR STE 210",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071359",
            "telephone_number": "248-495-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL AMICO, MA, LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "AMICO",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "248-495-0977",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1457874281",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.