Individual provider Active NPI

Jing Zhang, LMSW

  • Mental Health Counselor
  • Ann Arbor, MI
National Provider Identifier
1861983942
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6801110217 Issued in MI
Practice address
2339 Jonathon CT
Ann Arbor, MI 48108-2525
Phone
(510) 693-7273
Fax
(734) 272-4878
NPI assigned
May 23, 2018
Reactivated
Jul 22, 2021
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801110217 MI Primary

Addresses

Primary practice location

2339 Jonathon CT
Ann Arbor, MI 48108-2525

Mailing address

2339 Jonathon CT
Ann Arbor, MI 48108-2525
Phone (510) 693-7273

Other names 1

  • Liz Jing Zhang Professional name

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
I20210826002643 MI Practitioner - Clinical Social Worker 6800291923 Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801110217MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Safety As the Essence of Healing LLC Mental Health Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1861983942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 JONATHON CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082525",
            "telephone_number": "510-693-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 JONATHON CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082525",
            "telephone_number": "510-693-7273",
            "fax_number": "734-272-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "JING",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "deactivation_date": "2021-07-02",
        "reactivation_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801110217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZ",
            "last_name": "ZHANG",
            "middle_name": "JING",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.