Individual provider Active NPI

Jayshri Balaji, MA,

  • Counselor
  • Novi, MI
National Provider Identifier
1710970116
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401009306 Issued in MI
Practice address
43000 W 9 Mile Rd Ste 109
Novi, MI 48375-4180
Phone
(248) 660-9164
NPI assigned
Aug 31, 2005
Last updated
Jan 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401009306 MI Primary

Addresses

Primary practice location

43000 W 9 Mile Rd Ste 109
Novi, MI 48375-4180

Mailing address

40977 Scarborough LN
Novi, MI 48375-5701
Phone (248) 231-9975

Other identifiers 1

IdentifierTypeStateIssuer
0733595107OtherLIABILITY INSURANCE

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401009306MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Digital Plant Insights Counselor CurrentSince Jan 29, 2023 Accepting new patients

Locations

43000 W 9 Mile Rd
Ste 109
Novi, MI 48375
Phone (248) 266-1464

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

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1710970116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40977 SCARBOROUGH LN",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755701",
            "telephone_number": "248-231-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43000 W 9 MILE RD STE 109",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483754180",
            "telephone_number": "248-660-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAJI",
        "first_name": "JAYSHRI",
        "credential": "MA,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401009306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIABILITY INSURANCE",
            "identifier": "0733595107",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.