Jaclyn Beth Malek, MA LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401012617 Issued in MI

Practice address

324 W Main St
Brighton, MI 48116-1591

Phone

(810) 227-6218

NPI assigned

Aug 19, 2011

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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

• Jaclyn Malek Ma PLLC

  • Mental Health Counselor
  • Rochester, MI
  • NPI 1750954350
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1891075099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 S READING RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042043",
            "telephone_number": "248-225-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W MAIN ST",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161591",
            "telephone_number": "810-227-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEK",
        "first_name": "JACLYN",
        "middle_name": "BETH",
        "credential": "MA LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Boss Mainka, M.S., L.L.P.
• Rima Fazal Makhiawala, MD
• Lori Ann Makowski
• Rebecca Sue Malasky, LMSW
• Matt Jay Malec, CTRS
• Kathy Malone, LBSW, RN, IBCLC
• Robert Manchester, CPHT
• Heather Mancina, MS, BCBA, LBA
• Jenna Ann Mandernach, OTRL
• Emily Jane Mandziuk

• Professional Counselor in Brighton, MI
• Providers in Brighton, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.