My Virtual Couch LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MY VIRTUAL COUCH LLC

Practice address

20267 McCormick St
Detroit, MI 48224-1171

Phone

(313) 516-7965

NPI assigned

Aug 10, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer A Jennings, LPCNPI 1720349616

Title

Oenwer/Therapist

Phone

(313) 516-7965

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jennifer A. Jennings

  • Professional Counselor
  • Detroit, MI
  • NPI 1720349616
  NPD Authorized official

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1952076259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20267 MCCORMICK ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241171",
            "telephone_number": "313-516-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20267 MCCORMICK ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241171",
            "telephone_number": "313-516-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY VIRTUAL COUCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OENWER/THERAPIST",
        "authorized_official_telephone_number": "313-516-7965",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Charae Myatt
• Mycal Home Care
• Donna Mydlarz, LRRT
• Asia Myers
• Brandon Myers

• Mental Health Clinic/Center (Including Community Mental Health Center) in Detroit, MI
• Providers in Detroit, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.