Jennelle Hines, LLP, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401014080 Issued in MI

Practice address

5400 Holiday Ter Ste 200a
Kalamazoo, MI 49009-2161

Phone

(269) 520-0035

Fax

(269) 520-0051

NPI assigned

Jun 5, 2014

Last updated

Apr 17, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Jennelle Hines Counseling, PLLC

  • Professional Counselor
  • Kalamazoo, MI
  • NPI 1659970069
  NPD Authorized official

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618617600000",
    "number": "1700299898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 HOLIDAY TER STE 200A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092161",
            "telephone_number": "269-520-0035",
            "fax_number": "269-520-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 HOLIDAY TER STE 200A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092161",
            "telephone_number": "269-520-0035",
            "fax_number": "269-520-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "JENNELLE",
        "name_prefix": "Mrs.",
        "credential": "LLP, LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014080",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301015621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy J Hilleren, M.D.
• Patricia Hilliard, LLP
• Robert Dennis Hilliard, M.D.
• Cadence Hilyard
• Deborah Jane Hindman
• Axel Hiney
• Laura Hinkley, LLPC, LLMFT
• Jeffrey Lewis Hinson, D.O.
• Marc William Hinze, M.P.T.
• Indudhar S Hiremath, MD

• Professional Counselor in Kalamazoo, MI
• Providers in Kalamazoo, 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 17, 2021; 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.