Jennifer Lauren Hurley, M.A., LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

36400 Woodward Ave Ste 202
Bloomfield Hills, MI 48304-0913

Phone

(248) 895-3710

NPI assigned

Sep 16, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Lauren Ryczko Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• The Essential Self

  • Mental Health Counselor
  • Bloomfield Hills, MI
  • NPI 1871362434
  NPD (past) Authorized official

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1770919359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 MERRILL AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736815",
            "telephone_number": "248-895-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36400 WOODWARD AVE STE 202",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040913",
            "telephone_number": "248-895-3710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 Merrill Ave",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736815",
            "country_code": "US",
            "telephone_number": "248-895-3710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "JENNIFER",
        "middle_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "RYCZKO",
            "middle_name": "LAUREN",
            "credential": "M.A., LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Bloomfield Hills, MI
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.