Christine Susan Delagrange, MA

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1206 Clinton Rd
Jackson, MI 49202-2005

Phone

(517) 783-4250

NPI assigned

Jul 26, 2018

Sex

Female

Sole proprietor

Yes

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

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson Healing Clinic LLCGroup PAC ID 0840603031, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Jackson Healing Clinic LLC

  • Mental Health Counselor
  • Jackson, MI
  • NPI 1629677893
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1861979320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 CLINTON RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022005",
            "telephone_number": "517-783-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 CLINTON RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022005",
            "telephone_number": "517-783-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAGRANGE",
        "first_name": "CHRISTINE",
        "middle_name": "SUSAN",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Ann Deilus, CRNA
• Patricia Dekarske, LLMSW
• Victoria Dekarske
• Kersten Dekker, MSW INTERN
• Dawn Louise Del Rio, PHD
• Lauren Deland, DO
• Yoshua Delgado Vazquez
• Yoscar Delgado-Vazquez
• Alfred Delos Santos, LPC
• Erica Denard

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.