NPIMap

Organization Active NPI

J&a Counseling and Evaluations Inc.

  • Community/Behavioral Health Agency
  • Midland, MI
National Provider Identifier
1679723167
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
560042 Issued in MI
Legal business name
J&A COUNSELING AND EVALUATIONS INC.
Practice address
2603 W Wackerly St Ste 100
Midland, MI 48640-6905
Phone
(989) 631-4092
Fax
(989) 631-4991
NPI assigned
Sep 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Ms. Angela Chandra Cvolk, MA., LPC
Title
Vice President
Phone
(989) 631-4092

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Community/Behavioral Health Agency 251S00000X 560042 MI Primary

Addresses

Primary practice location

2603 W Wackerly St Ste 100
Midland, MI 48640-6905

Mailing address

2603 W Wackerly St Ste 100
Midland, MI 48640-6905
Phone (989) 631-4092

Other names 1

  • JACE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240425000221 MI Part B Supplier - Clinic/Group Practice 4284074253 Receives reassigned benefits from 4 practitioners
Practice locations: Midland, MI; Traverse City, MI

National Provider Directory

National Provider Directory

Locations

2603 W Wackerly St
Unit 2
Midland, MI 48640

2603 W Wackerly St
Ste 100
Midland, MI 48640
Phone (989) 506-6967

5100 Eastman Ave
Midland, MI 48640
Phone (989) 631-4092

2603 W Wackerly St
Unit B
Midland, MI 48640

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1679723167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 W WACKERLY ST STE 100",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406905",
            "telephone_number": "989-631-4092",
            "fax_number": "989-631-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 W WACKERLY ST STE 100",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406905",
            "telephone_number": "989-631-4092",
            "fax_number": "989-631-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&A COUNSELING AND EVALUATIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "CVOLK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "CHANDRA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "989-631-4092",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "560042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JACE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.