Power Soarce LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

POWER SOARCE LLC

Practice address

3869 Terrybrook Rd
West Bloomfield, MI 48322-1737

Phone

(248) 932-3935

NPI assigned

Mar 10, 2021

Organization subpart

No

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

Authorized official

Name

Lynn M Jackson, LPCNPI 1497129472

Title

LPC

Phone

(248) 932-3935

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lynn Jackson

  • Professional Counselor
  • West Bloomfield, MI
  • NPI 1497129472
  NPD Authorized official

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1952986176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3869 TERRYBROOK RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221737",
            "telephone_number": "248-932-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3869 TERRYBROOK RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221737",
            "telephone_number": "248-932-3935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26789 Woodward Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Huntingtn Wds",
            "state": "MI",
            "postal_code": "480701334",
            "country_code": "US",
            "telephone_number": "248-932-3935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POWER SOARCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "248-932-3935",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Fredrick Posner, R.D., M.S.
• Post Acute Physician Care PC
• Reeta Poutrs
• Saundranita Rezia Powe, 1744P3200X
• Chantal Ashley Powell, BEHAVIOR TECHNICIAN
• Sheila Prasad Meftah, MD
• Anuradha Yarlagadda Prasad, MD
• Madhu-Ashni Prasad, PA-C
• Amanda Prater, MA, BCBA, LBA
• Praveen Modi, MD, PC

• Professional Counselor in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.