Jennifer Elaine Mitchell, LLPC, CCS, CAADC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401007038 Issued in MI

Practice address

2311 Shelby Ave Ste 201D
Ann Arbor, MI 48103-3849

Phone

(734) 277-4577

NPI assigned

Nov 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Juniper Group Co, LLC

  • Counselor
  • Ann Arbor, MI
  • NPI 1366233470
  NPD Authorized official

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1992306898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 DEXTER ANN ARBOR RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031619",
            "telephone_number": "734-277-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 SHELBY AVE STE 201D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033849",
            "telephone_number": "734-277-4577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 N High St",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489064597",
            "country_code": "US",
            "telephone_number": "734-277-4577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JENNIFER",
        "middle_name": "ELAINE",
        "credential": "LLPC, CCS, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401007038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Ann Marie Mitchell
• Dylan Edward Mitchell
• Elizabeth L Mitchell
• Jalan Mitchell
• Jayne Olivia Mitchell, DO
• Lisa Marie Mitchell
• Ma'Tesha Mitchell
• Mark Allen Mitchell, LMSW
• Meagan Mitchell, LICSW
• Patrick Hallam Mitchell, LCSW

• Counselor in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.