Jessica Lee Carpenter
Individual provider Active NPI Mental Health Counselor · Dewitt, MI
NPI 1922828367 · NPPES record last updated Oct 11, 2024
Key facts
- NPI
- 1922828367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 13980 Schavey Rd
Dewitt, MI 48820-9013 - Phone
- (517) 899-2820
- NPI assigned
- Oct 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
13980 Schavey Rd
Dewitt, MI 48820-9013
Mailing address
2460 N Eifert Rd
Holt, MI 48842-1030
Phone (517) 899-2820
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All providers in Dewitt, MI · Mental Health Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.