Organization Active NPI

Jennifer Austin LMSW Mdiv LLC

  • Clinical Social Worker
  • Portage, MI
National Provider Identifier
1679404560
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JENNIFER AUSTIN LMSW MDIV LLC
Practice address
1611 W Centre Ave Ste 204
Portage, MI 49024-5393
Phone
(269) 478-9529
Fax
(866) 475-0053
NPI assigned
May 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Mrs. Jennifer Lynn Austin, LMSW-C, LISW, LICSWNPI 1710391347
Title
Clinical Social Worker/Therapist
Phone
(269) 478-9529

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1611 W Centre Ave Ste 204
Portage, MI 49024-5393

Mailing address

1611 W Centre Ave Ste 204
Portage, MI 49024-5393
Phone (269) 478-9529

Other names 1

  • Soulful Science Counseling & Consulting Doing business as

National Provider Directory

National Provider Directory

Locations

1611 W Centre Ave
Portage, MI 49024
Phone (269) 281-4380

1611 W Centre Ave
Ste 204
Portage, MI 49024

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": "1779926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1679404560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 W CENTRE AVE STE 204",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245393",
            "telephone_number": "269-478-9529",
            "fax_number": "866-475-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 W CENTRE AVE STE 204",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245393",
            "telephone_number": "269-478-9529",
            "fax_number": "866-475-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER AUSTIN LMSW MDIV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/THERAPIST",
        "authorized_official_telephone_number": "269-478-9529",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW-C, LISW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soulful Science Counseling & Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.