Individual provider Active NPI

Jennifer Dawn Guthrie, LMSW

  • Counselor
  • Jackson, MI
National Provider Identifier
1801123963
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6801089031 Issued in MI
Practice address
1715 Lansing Ave
Suite 672
Jackson, MI 49202-2192
Phone
(517) 788-4364
Fax
(517) 780-4739
NPI assigned
Nov 11, 2009
Last updated
Nov 11, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6801089031 MI Primary

Addresses

Primary practice location

1715 Lansing Ave
Suite 672
Jackson, MI 49202-2192

Mailing address

1715 Lansing Ave
Suite 672
Jackson, MI 49202-2193
Phone (517) 788-4364

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County PastSince May 12, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1801123963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 LANSING AVE",
            "address_2": "SUITE 672",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022193",
            "telephone_number": "517-788-4364",
            "fax_number": "517-780-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 LANSING AVE",
            "address_2": "SUITE 672",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022192",
            "telephone_number": "517-788-4364",
            "fax_number": "517-780-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6801089031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.