Her Midlife Well-Being Services LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

HER MIDLIFE WELL-BEING SERVICES LLC

Practice address

388 Cove View Dr
Waterford, MI 48327-3784

Phone

(313) 365-0479

NPI assigned

Oct 18, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer Green, LMSW, CCMNPI 1952804460

Title

Owner

Phone

(313) 365-0479

Specialties & licenses 6

Addresses

Locations

Practitioners 1

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

• Jennifer Green

  • Clinical Social Worker
  • Livonia, MI
  • NPI 1952804460

  Counselor

  NPD Authorized official

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700956800000",
    "number": "1801678396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5119 HIGHLAND RD STE 129",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271915",
            "telephone_number": "313-365-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 COVE VIEW DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483273784",
            "telephone_number": "313-365-0479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5168 Civic Center Dr",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "48329",
            "country_code": "US",
            "telephone_number": "313-365-0479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HER MIDLIFE WELL-BEING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-11-26",
        "certification_date": "2023-11-26",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-365-0479",
        "authorized_official_credential": "LMSW, CCM"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Edward Heins, DC
• Amanda Sue Helgemo, LMSW
• Hemangini a Desai MD PC
• Rhianna Hensler
• Callina Renee Henson, LPC
• Danielle Rose Herbeck, DPT
• Here for You, LLC
• Stephen Edward Hershey, D.D.S., M.S., L.L.C.
• Abby Hetu, LPC
• Kurt Charles Heuerman, DDS

• Counselor in Waterford, MI
• Providers in Waterford, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2023; 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.