Active NPI
Jennifer Chaille Rich, MA LLP
- Counseling Psychologist
- Ypsilanti, MI
National Provider Identifier
1730436700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 63010136329
- Practice address
- 2900 Packard Rd
Suite 1
Ypsilanti, MI 48197-2060 - Phone
- (734) 528-9703
- Fax
- (734) 572-8866
- NPI assigned
- Aug 9, 2012
- 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 | 63010136329 | MI | Primary |
Addresses
Primary practice location
2900 Packard Rd
Suite 1
Ypsilanti, MI 48197-2060
Mailing address
2900 Packard Rd
Suite 1
Ypsilanti, MI 48197-2060
Phone (734) 528-9703
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
| License | State | Type | Specialty |
|---|---|---|---|
| 63010136329 | MI | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Counseling, PLLC | Counseling | Current | Accepting new patients |
Locations
3830 Packard St
Ste 160
Ann Arbor, MI 48108
Phone (734) 528-9703
2900 Packard Rd
Ste 1
Ypsilanti, MI 48197
Phone (734) 572-8686
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1730436700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 PACKARD RD",
"address_2": "SUITE 1",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481972060",
"telephone_number": "734-528-9703",
"fax_number": "734-572-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 PACKARD RD",
"address_2": "SUITE 1",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481972060",
"telephone_number": "734-528-9703",
"fax_number": "734-572-8866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICH",
"first_name": "JENNIFER",
"middle_name": "CHAILLE",
"credential": "MA LLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-09",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "63010136329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.