Organization Active NPI

John R Rathje

  • Professional Counselor
  • Ann Arbor, MI
National Provider Identifier
1902673783
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JOHN R RATHJE
Practice address
2350 Washtenaw Ave Ste 6B
Ann Arbor, MI 48104-4525
Phone
(314) 255-4453
NPI assigned
Dec 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
John Rathje, LPCNPI 1275820128
Title
Owner/LPC
Phone
(314) 255-4453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2350 Washtenaw Ave Ste 6B
Ann Arbor, MI 48104-4525

Mailing address

609 Rosewood Ave
Ypsilanti, MI 48198-8012
Phone (314) 255-4453

National Provider Directory

National Provider Directory

Locations

2350 Washtenaw Ave
Ste 6B
Ann Arbor, MI 48104
Phone (314) 255-4453

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1902673783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 ROSEWOOD AVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481988012",
            "telephone_number": "314-255-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 WASHTENAW AVE STE 6B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044525",
            "telephone_number": "314-255-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R RATHJE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "RATHJE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "314-255-4453",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.