Organization Active NPI

Arukah Wellness Journey LLC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1972019917
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801093525 Issued in MI
Legal business name
ARUKAH WELLNESS JOURNEY LLC
Practice address
2385 S Huron Pkwy Ste 2N
Ann Arbor, MI 48104-5127
Phone
(734) 386-0560
Fax
(734) 882-2861
NPI assigned
Dec 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Mrs. Jatera K Maing, MSW, LCSWNPI 1093061343
Title
Licensed Clinical Social Worker
Phone
(734) 386-0560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801093525 MI Primary

Addresses

Primary practice location

2385 S Huron Pkwy Ste 2N
Ann Arbor, MI 48104-5127

Mailing address

2385 S Huron Pkwy Ste 2N
Ann Arbor, MI 48104-5127
Phone (734) 386-0560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200423003124 MI Part B Supplier - Clinic/Group Practice 6305276882 Receives reassigned benefits from 1 practitioner
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1972019917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 S HURON PKWY STE 2N",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045127",
            "telephone_number": "734-386-0560",
            "fax_number": "734-882-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 S HURON PKWY STE 2N",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045127",
            "telephone_number": "734-386-0560",
            "fax_number": "734-882-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUKAH WELLNESS JOURNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "MAING",
        "authorized_official_first_name": "JATERA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "734-386-0560",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.