Jearald Dudley II

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

47 Carriage Way
Ypsilanti, MI 48197-7430

Phone

(734) 757-0308

NPI assigned

Sep 25, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lenawee Community Mental Health AuthorityGroup PAC ID 7214828177, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jaycar Wellness Group LLC

  • Clinical Social Worker
  • Ypsilanti, MI
  • NPI 1427769215
  Medicare reassignment NPD Authorized official
• Lenawee Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Adrian, MI
  • NPI 1962576983
  Medicare reassignment Care Compare group NPD
• Lenawee Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Adrian, MI
  • NPI 1912227570
  NPD (past)

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1851908636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CARRIAGE WAY",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481977430",
            "telephone_number": "734-757-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CARRIAGE WAY",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481977430",
            "telephone_number": "734-757-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "JEARALD",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Dubiel, CRNA
• Sydney Dubke, AGACNP
• Joshua Dubridge, PA-C
• Trische Duckworth, MSW,LLMSW
• Jill E Duda, P.A.-C
• Kathleen Margaret Dudzinski, LMSW
• Jane Elaine Duerr, ARPN
• Angelina Dumitrescu
• Samantha Dunleavy, CEP
• Makayla Dunn

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.