Individual provider Active NPI

Janelle Uganski, LMSW

  • Social Worker
  • Muskegon, MI
National Provider Identifier
1861010076
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801107062 Issued in MI
Practice address
296 W Clay Ave
Muskegon, MI 49440-1202
Phone
(231) 335-1718
Fax
(231) 422-0022
NPI assigned
Jul 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801107062 MI Primary

Addresses

Primary practice location

296 W Clay Ave
Muskegon, MI 49440-1202

Mailing address

6995 W 48TH St
Fremont, MI 49412-9506
Phone (231) 335-1718

Other practice location 1

221 Trowbridge St NE Apt 208
Grand Rapids, MI 49503-1891
Phone (616) 499-7711

Other practice location 2

6995 W 48th St
Fremont, MI 49412-9506
Phone (231) 335-1718

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221020002409 MI Practitioner - Clinical Social Worker 9537535216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Mind Counseling PLLCGroup PAC ID 1355670233, 11 clinicians

Practice addresses (Care Compare)

6995 W 48TH St
Fremont, MI 49412-9506
Phone 231335171833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801107062MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Counseling PLLC Social Worker CurrentSince Sep 13, 2022 Accepting new patients
Ju Therapy LLC Current Accepting new patients

Locations

6995 W 48th St
Fremont, MI 49412
Phone (231) 335-1718

296 W Clay Ave
Muskegon, MI 49440
Phone (231) 335-1718

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1861010076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6995 W 48TH ST",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494129506",
            "telephone_number": "231-335-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 W CLAY AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494401202",
            "telephone_number": "231-335-1718",
            "fax_number": "231-422-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Trowbridge St NE Apt 208",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495031891",
            "country_code": "US",
            "telephone_number": "616-499-7711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6995 W 48th St",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "MI",
            "postal_code": "494129506",
            "country_code": "US",
            "telephone_number": "231-335-1718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UGANSKI",
        "first_name": "JANELLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801107062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.