Jason Michael Eldred, MA, LPC, CRC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

42500 Hayes Rd Ste 500
Clinton Township, MI 48038-6768

Phone

(586) 828-1221

NPI assigned

Dec 3, 2017

Sex

Male

Sole proprietor

No

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, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/pimsy-thrive

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.

• E Squared Behavioral Health, PLLC

  • Mental Health Counselor
  • Grosse Pointe Park, MI
  • NPI 1053008136
  Medicare reassignment NPD Authorized official
• Thrive Behavioral Health

  • Clinical Psychologist
  • Shelby Township, MI
  • NPI 1245667443
  NPD (past)

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

{
    "created_epoch": "1512259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1891200671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 BEDFORD RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301116",
            "telephone_number": "586-335-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42500 HAYES RD STE 500",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386768",
            "telephone_number": "586-828-1221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 N Mill St",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481701423",
            "country_code": "US",
            "telephone_number": "586-335-1217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELDRED",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MA, LPC, CRC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-03",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Marie Ekdahl, LBSW
• Haitham El-Haddad, M.D.
• Eddie F El-Yussif, DO
• Ali Elakkari
• Marie Catherine Elchaer, OD
• Annes Baher Mustafa Elfar
• Ivana Elhallak
• Anthony Faez Elia, CHW
• Elite Physical Therapy and Performance, PLLC
• Jami Elkins, PTA

• Mental Health Counselor in Clinton Township, MI
• Providers in Clinton Township, 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 13, 2022; 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.