Active NPI
Priscilla Goldine Fleming, LLP
- Counseling Psychologist
- Jackson, MI
National Provider Identifier
1700912565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6301010021
- Practice address
- 726 Union St
Jackson, MI 49203-3072 - Phone
- (906) 284-2512
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6301010021 | MI | Primary |
Addresses
Primary practice location
726 Union St
Jackson, MI 49203-3072
Mailing address
726 Union St
Jackson, MI 49203-3072
Phone (906) 284-2512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301010021 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1700912565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 UNION ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492033072",
"telephone_number": "906-284-2512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 UNION ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492033072",
"telephone_number": "906-284-2512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "PRISCILLA",
"middle_name": "GOLDINE",
"name_prefix": "Ms.",
"credential": "LLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301010021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.