Active NPI
Jennifer Kirkpatrick, LPC AND LPCC
- Mental Health Counselor
- Harrison Township, MI
National Provider Identifier
1750830972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401015620
- Practice address
- 38722 Lakeshore Dr
Harrison Township, MI 48045-2871 - Phone
- (330) 267-8551
- NPI assigned
- Sep 29, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E.2001754 | OH | |
| Professional Counselor | 101YP2500X | 6401017130 | MI | |
| Mental Health Counselor | 101YM0800X | 6401015620 | MI | Primary |
Addresses
Primary practice location
38722 Lakeshore Dr
Harrison Township, MI 48045-2871
Mailing address
38722 Lakeshore Dr
Harrison Township, MI 48045-2871
Phone (330) 267-8551
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 |
|---|---|---|---|
| 6401015620 | MI | MD | Mental Health Counselor |
| E.2001754 | OH | MD | Mental Health Counselor |
| 6401017130 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Judson Center, Inc. | 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.
-
- Community/Behavioral Health Agency
- Royal Oak, MI
- NPI 1033264890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1750830972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38722 LAKESHORE DR",
"city": "HARRISON TOWNSHIP",
"state": "MI",
"postal_code": "480452871",
"telephone_number": "330-267-8551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38722 LAKESHORE DR",
"city": "HARRISON TOWNSHIP",
"state": "MI",
"postal_code": "480452871",
"telephone_number": "330-267-8551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKPATRICK",
"first_name": "JENNIFER",
"credential": "LPC AND LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-29",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.2001754",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401017130",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401015620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrison Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.