Individual provider Active NPI

Jordan Michael Wurmlinger, LLC

  • Counselor
  • Jackson, MI
National Provider Identifier
1780449207
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6451023329 Issued in MI
Practice address
3101 Spring Arbor Rd Ste 100
Jackson, MI 49203-3799
Phone
(517) 782-2442
Fax
(517) 782-0310
NPI assigned
Feb 14, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6451023329 MI Primary

Addresses

Primary practice location

3101 Spring Arbor Rd Ste 100
Jackson, MI 49203-3799

Mailing address

3101 Spring Arbor Rd Ste 100
Jackson, MI 49203-3799
Phone (517) 782-2442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260314000203 MI Practitioner - Mental Health Counselor 2062995343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3101 Spring Arbor Rd
Suite 100
Jackson, MI 49203-3799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6451023329MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia J Lafave P H D & Associates P C CurrentSince Mar 1, 2026 Accepting new patients

Locations

3101 Spring Arbor Rd
Ste 100
Jackson, MI 49203
Phone (517) 782-2442

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": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1780449207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 SPRING ARBOR RD STE 100",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033799",
            "telephone_number": "517-782-2442",
            "fax_number": "517-782-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 SPRING ARBOR RD STE 100",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033799",
            "telephone_number": "517-782-2442",
            "fax_number": "517-782-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURMLINGER",
        "first_name": "JORDAN",
        "middle_name": "MICHAEL",
        "credential": "LLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451023329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.