Individual provider Active NPI

Jennifer Rae Hurst, LPC NCC CAADC MAC CC

  • Mental Health Counselor
  • Pontiac, MI
National Provider Identifier
1992092811
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401012492 Issued in MI
Practice address
114 Orchard Lake Rd
Pontiac, MI 48341-2244
Phone
(248) 858-7766
NPI assigned
Jun 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401012492 MI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6401012492 MI

Addresses

Primary practice location

114 Orchard Lake Rd
Pontiac, MI 48341-2244

Mailing address

114 Orchard Lake Rd
Pontiac, MI 48341-2244
Phone (248) 858-7766

Other practice location 1

1255 N Oakland Blvd Ste 100
Waterford, MI 48327-1578
Phone (248) 406-0090 ext. 2377

Other practice location 2

2399 E Walton Blvd
Auburn Hills, MI 48326-1955
Phone (248) 475-6300

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
I20240311001362 MI Practitioner - Mental Health Counselor 1951747146 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Easterseals Morc Health Care, Inc. CurrentSince Jan 4, 2026 Accepting new patients
Oakland Family Services PastSince Oct 6, 2024 Accepting new patients
Oakland Family Services PastSince Jun 29, 2025 Accepting new patients

Locations

2399 E Walton Blvd
Auburn Hills, MI 48326
Phone (248) 475-6400

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/oaklandfamilyservices/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1992092811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 ORCHARD LAKE RD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412244",
            "telephone_number": "248-858-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 ORCHARD LAKE RD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412244",
            "telephone_number": "248-858-7766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 N Oakland Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483271578",
            "country_code": "US",
            "telephone_number": "248-406-0090 x2377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2399 E Walton Blvd",
            "address_purpose": "LOCATION",
            "city": "Auburn Hills",
            "state": "MI",
            "postal_code": "483261955",
            "country_code": "US",
            "telephone_number": "248-475-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURST",
        "first_name": "JENNIFER",
        "middle_name": "RAE",
        "credential": "LPC NCC CAADC MAC CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401012492",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401012492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.