Active NPI
Jennifer Leigh Koogan, MS, LPC
- Mental Health Counselor
- Monroe, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401223859
- Practice address
- 1001 S Raisinville Rd
Monroe, MI 48161-9754 - Phone
- (734) 243-7340
- NPI assigned
- Nov 12, 2015
- Last updated
- Jul 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| LICDC.161661 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| 6401223859 | MI | MD | Mental Health Counselor |
| C.1400588 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe County Community Mental Health Authority | Current | 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.
-
- Community/Behavioral Health Agency
- Monroe, MI
- NPI 1245303890
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.