Jessyca Blase, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

441 S Livernois Rd Ste 100
Rochester Hills, MI 48307-2585

Phone

(248) 608-8800

Fax

(248) 608-2490

NPI assigned

Mar 16, 2017

Sex

Female

Sole proprietor

No

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

Enrolled in MI

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 1

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Therapy Today Counseling and Consulting, LLC

  • Clinical Social Worker
  • East Lansing, MI
  • NPI 1629322003
  Medicare reassignment

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710428388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 S LIVERNOIS RD STE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072585",
            "telephone_number": "248-608-8800",
            "fax_number": "248-608-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 S LIVERNOIS RD STE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072585",
            "telephone_number": "248-608-8800",
            "fax_number": "248-608-2490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1617 E Milham Ave",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490023049",
            "country_code": "US",
            "telephone_number": "269-303-5931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2770 Carpenter Rd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481084104",
            "country_code": "US",
            "telephone_number": "734-585-5053",
            "fax_number": "734-585-5068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLASE",
        "first_name": "JESSYCA",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bishr Ujayli MD PC
• Jusilda Bita
• James D Black, DPM
• Krista Blackstone
• Kelly Blakeslee, LPC, CRC
• Cristina Blazer, PHARMD
• Melinda L Blesch, RD
• Bloomfield Hand Specialists, P.C.
• Bloomfield Hand Therapy PC
• Bnaebk PLLC

• Clinical Social Worker in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.