Individual provider Active NPI

Jennifer Leigh Koogan, MS, LPC

  • Mental Health Counselor
  • Monroe, MI
National Provider Identifier
1952774903
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401223859 Issued in MI
Practice address
1001 S Raisinville Rd
Monroe, MI 48161-9754
Phone
(734) 243-7340
NPI assigned
Nov 12, 2015
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.161661 OH
Mental Health Counselor 101YM0800X C.1400588 OH
Mental Health Counselor 101YM0800X 6401223859 MI Primary

Addresses

Primary practice location

1001 S Raisinville Rd
Monroe, MI 48161-9754

Mailing address

PO Box 726
Monroe, MI 48161-0726
Phone (734) 384-0226

Other practice location 1

125 Smith Rd
Temperance, MI 48182-1028
Phone (419) 513-8755

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
I20260304000541 MI Practitioner - Mental Health Counselor 6800378456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1001 S Raisinville Rd
Monroe, MI 48161-9754

1032 Margo St
Tawas City, MI 48763-9307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LICDC.161661OHMDAddiction (Substance Use Disorder) Counselor
6401223859MIMDMental Health Counselor
C.1400588OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe County Community Mental Health Authority CurrentSince Jan 4, 2026 Accepting new patients

Locations

1001 S Raisinville Rd
Monroe, MI 48161
Phone (734) 243-7340

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, 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": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1952774903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481610726",
            "telephone_number": "734-384-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S RAISINVILLE RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619754",
            "telephone_number": "734-243-7340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Smith Rd",
            "address_purpose": "LOCATION",
            "city": "Temperance",
            "state": "MI",
            "postal_code": "481821028",
            "country_code": "US",
            "telephone_number": "419-513-8755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOOGAN",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161661",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1400588",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401223859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.