NPIMap

Organization Active NPI

2ND Chance Wellness Services, PLLC

  • Clinical Social Worker
  • Ypsilanti, MI
National Provider Identifier
1780480533
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
2ND CHANCE WELLNESS SERVICES, PLLC
Practice address
124 Pearl St Ste 405
Ypsilanti, MI 48197-2663
Phone
(734) 796-0346
NPI assigned
Feb 21, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kristal Reyes, LMSWNPI 1417339201
Title
Clinical Director/Owner
Phone
(734) 796-0346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

124 Pearl St
Ste 405
Ypsilanti, MI 48197
Phone (734) 209-0240

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

NPPES NPI Registry

Primary practice location

124 Pearl St Ste 405
Ypsilanti, MI 48197-2663

Mailing address

535 Waymarket Dr
Ann Arbor, MI 48103-6619
Phone (734) 796-0346

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2025.

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1780480533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 WAYMARKET DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036619",
            "telephone_number": "734-796-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 PEARL ST STE 405",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972663",
            "telephone_number": "734-796-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2ND CHANCE WELLNESS SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "KRISTAL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "734-796-0346",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Jun 16, 2025; 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.