Michigan Wellness Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MICHIGAN WELLNESS THERAPY, LLC

Practice address

7330 East Michigan Ave
Saline, MI 48176

Phone

(734) 470-3500

NPI assigned

Dec 28, 2018

Organization subpart

No

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

Authorized official

Name

Jennifer Simms-Coffey, MA, LMSWNPI 1801321310

Title

Owner

Phone

(734) 470-3500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Simms-Coffey, LMSW

  • Clinical Social Worker
  • Saline, MI
  • NPI 1801321310
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1871065029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E MICHIGAN AVE # 139",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761588",
            "telephone_number": "734-470-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 EAST MICHIGAN AVE",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "48176",
            "telephone_number": "734-470-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN WELLNESS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "SIMMS-COFFEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-470-3500",
        "authorized_official_credential": "MA, LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Robert Merkel, D.D.S.
• Shaelyn Merki
• Paulette Margaret Metoyer, M.D.
• Mibraces LLC
• Michael S. Singleton DDS, PLLC
• Nicole Miller, MPH, RD, CCRP
• Carolyn Suarez Minnette
• Mir M. Asghar MD PLC
• Patricia Marie Molloy, LPC
• Emmanuella Moomey, LLPC

• Clinical Social Worker in Saline, MI
• Providers in Saline, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.