Jennifer Rochelle Brundige, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401222275 Issued in MI

Practice address

4710 W Saginaw Hwy Ste 1
Lansing, MI 48917-2654

Phone

(989) 272-3203

NPI assigned

Apr 19, 2018

Last updated

Mar 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A New Day Counseling Consulting and Community Services

  • Professional Counselor
  • Lansing, MI
  • NPI 1669038816
  Medicare reassignment NPD

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1649767286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 W SAGINAW HWY STE 1",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172654",
            "telephone_number": "989-272-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 W SAGINAW HWY STE 1",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172654",
            "telephone_number": "989-272-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNDIGE",
        "first_name": "JENNIFER",
        "middle_name": "ROCHELLE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401009390",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401222275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan David Tyson Bruce, MD
• Mary Jane Bruen, NP
• Macie Bruff
• Patricia C Bruinsma, RSW
• Christopher Brumm, M.A.
• David Brunger, FNP-BC
• Eve M Brusie, D.O.
• Katrina Bryan, PHARM.D.
• Dedric Bryant, MD
• Jack Bryant, LLMSW

• Professional Counselor in Lansing, MI
• Providers in Lansing, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.