Jennifer Jean Watts, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401015207 Issued in MI

Practice address

8123 Grand River Rd
Brighton, MI 48114-9464

Phone

(517) 518-2503

NPI assigned

Dec 8, 2015

Last updated

Dec 8, 2015By the provider in NPPES

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 TN, MI2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Rider Expressive Therapy LLC

  • Professional Counselor
  • Duck River, TN
  • NPI 1477172666

  Mental Health, MI

  Medicare reassignment NPD Authorized official
• Blue Rider Expressive Therapy PLLC

  • Mental Health Counselor
  • Duck River, TN
  • NPI 1619823606
  Medicare reassignment NPD Authorized official
• Antoinette Peterson,LLC

  dba New Perspective Counseling

  • Clinical Social Worker
  • Highland, MI
  • NPI 1194050914
  NPD (past)

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1700251386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11638 CHASE LAKE RD",
            "city": "WEBBERVILLE",
            "state": "MI",
            "postal_code": "488929522",
            "telephone_number": "517-518-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8123 GRAND RIVER RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149464",
            "telephone_number": "517-518-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "JENNIFER",
        "middle_name": "JEAN",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Walter, OTR
• Teresa Florence Walterhouse
• Elizabeth A Warbasse, MD
• Zayna A.V. Ward
• Meagan Jean Warden, PTA, LMT
• Davis Tucker Weaver, MD, PHD
• Anna Shea Webber, LLMSW
• Christine Weber, APRN,BC
• Kenitra L. Webster, LMSW
• John Thomas Wei, MD

• Mental Health Counselor in Brighton, MI
• Providers in Brighton, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.