Jumoi-Antonio Shemar-David Reid, LLPC, LLMFT, MA, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451022605 Issued in MI

Practice address

31815 Southfield Rd Ste 18
Beverly Hills, MI 48025-5471

Phone

(248) 480-0115

Fax

(248) 282-7114

NPI assigned

Oct 31, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• Mas Counseling Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beverly Hills, MI
  • NPI 1912309352

  Professional

  NPD
• Kalamazoo Psychology

  • Psychologist
  • Kalamazoo, MI
  • NPI 1306145420
  NPD (past)
• Kalamazoo Psychology, LLC

  • Counseling Psychologist
  • Kalamazoo, MI
  • NPI 1083879852
  NPD (past)

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1881301893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31815 SOUTHFIELD RD STE 18",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255471",
            "telephone_number": "248-480-0115",
            "fax_number": "248-282-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31815 SOUTHFIELD RD STE 18",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255471",
            "telephone_number": "248-480-0115",
            "fax_number": "248-282-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JUMOI-ANTONIO",
        "middle_name": "SHEMAR-DAVID",
        "credential": "LLPC, LLMFT, MA, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451022605",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4151001077",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451022605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanel Qarana
• Mohammad Imran Qureshi, MD
• Rahma Worldwide Aid and Development
• Laura Ramaj
• Mark E Redman, MD
• Bailey Rice, RDN
• Samantha Robbins, MS, CCC-SLP
• Marlene Margaret Roth, M.D.
• Jaber Saad, MD
• Joseph Salama, M.D.

• Mental Health Counselor in Beverly Hills, MI
• Providers in Beverly Hills, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.