Individual provider Active NPI

J. Frederick Bland, NCC, LPC

  • Professional Counselor
  • Jackson, MI
National Provider Identifier
1942546833
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
56663 Issued in MI
Practice address
209 E Washington Ave Ste 252
Jackson, MI 49201-2393
Phone
(517) 435-2176
Fax
(517) 435-2176
NPI assigned
Dec 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X SPADA CERTIFICATION MI
Mental Health Counselor 101YM0800X 6401009072 MI
School Counselor 101YS0200X
Professional Counselor 101YP2500X 56663 MI Primary

Addresses

Primary practice location

209 E Washington Ave Ste 252
Jackson, MI 49201-2393

Mailing address

PO Box 625
Jackson, MI 49204-0625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SPADA CERTIFICATIONMIMDAddiction (Substance Use Disorder) Counselor
6401009072MIMDMental Health Counselor
56663MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empowering Zone Counseling & Consulting Services, PLLC CurrentSince Jul 17, 2022 Accepting new patients

Locations

209 E Washington Ave
Ste 252
Jackson, MI 49201
Phone (517) 435-2176

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1942546833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 625",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492040625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E WASHINGTON AVE STE 252",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012393",
            "telephone_number": "517-435-2176",
            "fax_number": "517-435-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAND",
        "first_name": "J. FREDERICK",
        "name_prefix": "Dr.",
        "credential": "NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-20",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "SPADA CERTIFICATION",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401009072",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "56663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.