Alexis Ahlbaum

Individual provider Active NPI Clinical Social Worker · Jackson, MI

NPI 1831892199 · NPPES record last updated Feb 9, 2026

Key facts

NPI
1831892199
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6801116912 (MI)
Practice address
2652 Spring Arbor Rd
Jackson, MI 49203-3604
Phone
(517) 612-5798
NPI assigned
Mar 24, 2023
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6801116912MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rise and Renew Counseling Services LLC Mental Health Current
since Mar 1, 2024
Accepting new patients

Locations

2652 Spring Arbor Rd
Jackson, MI 49203
Phone (313) 883-9031

Interoperability endpoints

  • Direct secure messaging: aahlbaum985305@direct.hfhs.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801116912 MI Yes
Mental Health Counselor 101YM0800X 6801116912 MI

Addresses

Primary practice location

2652 Spring Arbor Rd
Jackson, MI 49203-3604

Mailing address

2652 Spring Arbor Rd
Jackson, MI 49203-3604
Phone (517) 612-5798

Other providers in Jackson, MI

All providers in Jackson, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.