Jenna Haley Przeslawski

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401016636 Issued in MI

Practice address

2525 Crooks Rd Ste 100
Troy, MI 48084-4733

Phone

(248) 731-7305

NPI assigned

Apr 29, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Michigan Behavioral Medicine PLLCGroup PAC ID 8325069305, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Michigan Behavioral Medicine PLLC

  • Psychiatry Physician
  • Troy, MI
  • NPI 1144317116
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1659954543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 BRADBURY DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986313",
            "telephone_number": "586-596-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CROOKS RD STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844733",
            "telephone_number": "248-731-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZESLAWSKI",
        "first_name": "JENNA",
        "middle_name": "HALEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Protera Health Medical of Michigan PC
• Protera Health, Inc
• Provision Home Care LLC
• Lindsay Prusakiewicz, FNP-C
• Lisa M Prusakiewicz, RPT
• Bradley Martin Przymusinski, LMSW
• Psychworks CSH
• Lauren M Puente, PA-C
• Joseph Pulito, DO
• Lynn Marie Purcilly

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.