Active NPI
Jilaine Towne-Patton, LPC
- Mental Health Counselor
- Charlevoix, MI
National Provider Identifier
1710477278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401012013
- Practice address
- 208 W Lincoln St
Charlevoix, MI 49720-1336 - Phone
- (231) 547-1144
- Fax
- (231) 547-4970
- NPI assigned
- May 10, 2018
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401012013 | MI | Primary |
Addresses
Primary practice location
208 W Lincoln St
Charlevoix, MI 49720-1336
Mailing address
208 W Lincoln St
Charlevoix, MI 49720-1336
Phone (231) 547-1144
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OA50093 | Other | MI | BLUE CROSS BLUE SHIELD |
| 20151209439760 | Medicaid | MI | |
| 383SYS0617-C | Other | MI | HUMANA BEHAVIORAL HEALTH |
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 |
|---|---|---|---|
| 6401012013 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Substance Education Services | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Charlevoix, MI
- NPI 1790053270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550966400000",
"number": "1710477278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 W LINCOLN ST",
"city": "CHARLEVOIX",
"state": "MI",
"postal_code": "497201336",
"telephone_number": "231-547-1144",
"fax_number": "231-547-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 W LINCOLN ST",
"city": "CHARLEVOIX",
"state": "MI",
"postal_code": "497201336",
"telephone_number": "231-547-1144",
"fax_number": "231-547-4970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOWNE-PATTON",
"first_name": "JILAINE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-10",
"last_updated": "2019-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401012013",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "OA50093",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20151209439760",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA BEHAVIORAL HEALTH",
"identifier": "383SYS0617-C",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlevoix, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.