Individual provider Active NPI

Jarhed Macarubbo Pena, CRC, LPC

  • Professional Counselor
  • Detroit, MI
National Provider Identifier
1891419727
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6451018333 Issued in MI
Practice address
4444 2ND Ave
Detroit, MI 48201-1216
Phone
(734) 465-6615
NPI assigned
Oct 4, 2022
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6451018333 MI Primary

Addresses

Primary practice location

4444 2ND Ave
Detroit, MI 48201-1216

Mailing address

4444 2ND Ave
Detroit, MI 48201-1216
Phone (734) 465-6615

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
I20240111003897 MI Practitioner - Mental Health Counselor 3779934922 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6073 Shadetree CT
Howell, MI 48843-7157
Phone (734) 465-6615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Tumor Registrar

State licenses

LicenseStateTypeSpecialty
6451018333MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Mar 18, 2025 Accepting new patients
Recovery and Balance CurrentSince Sep 13, 2025 Accepting new patients
Psychological Associates in Rehabilitation PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4444 2nd Ave
Detroit, MI 48201
Phone (313) 900-9069

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

3960 Patient Care Dr
Ste 104
Lansing, MI 48911
Phone (517) 887-9801

Organizations & group practices 3

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": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1891419727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 2ND AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011216",
            "telephone_number": "734-465-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 2ND AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011216",
            "telephone_number": "734-465-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "JARHED",
        "middle_name": "MACARUBBO",
        "name_prefix": "Dr.",
        "credential": "CRC, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-04",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451018333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.