Jacalyn Harden, MA, LPC, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401016065 Issued in MI

Practice address

32841 Middlebelt Rd Ste 403
Farmington Hills, MI 48334-1771

Phone

(248) 851-7739

NPI assigned

Jun 29, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Doctor of Philosophy

State licenses

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.

• Arboretum Contemporary Psychodynamics, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Detroit, MI
  • NPI 1538833660
  NPD Authorized official
• The Mel Bornstein Clinic for Psychoanalysis and Psychotherapy

  • Multi-Specialty Clinic/Center
  • Farmington Hills, MI
  • NPI 1023546389
  NPD (past)

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1780105841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 COMMONWEALTH ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082227",
            "telephone_number": "313-550-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32841 MIDDLEBELT RD STE 403",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341771",
            "telephone_number": "248-851-7739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 W Alexandrine St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012051",
            "country_code": "US",
            "telephone_number": "313-831-5535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDEN",
        "first_name": "JACALYN",
        "name_prefix": "Dr.",
        "credential": "MA, LPC, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Hardeman, RBT
• Jaianna Hardeman
• Brett Harden
• Brisbane J Harden
• Ellisia Harden
• Jarvis Harden
• Kennethah Harden
• Lisa Harden
• Mariah Harden
• Monique Harden

• Professional Counselor in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.