Organization Active NPI

Open Door Family Counseling

  • Professional Counselor
  • Jackson, MI
National Provider Identifier
1992339071
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
OPEN DOOR FAMILY COUNSELING
Practice address
316 S Brown St Ste a
Jackson, MI 49203-1481
Phone
(517) 936-7580
NPI assigned
Feb 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Mr. Lawrence Michael Zolman, LPCNPI 1407938889
Title
Manager
Phone
(517) 936-7580

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

316 S Brown St Ste a
Jackson, MI 49203-1481

Mailing address

726 Oakridge Dr
Jackson, MI 49203-3915
Phone (517) 936-7580

Other identifiers 1

IdentifierTypeStateIssuer
6401010101OtherMISTATE LICENSE NUMBER FOR PROFESSIONAL COUNSELING

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241015001308 MI Part B Supplier - Clinic/Group Practice 7618389164 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, MI

National Provider Directory

National Provider Directory

Locations

1401 W Michigan Ave
Jackson, MI 49202
Phone (734) 408-1682

316 S Brown St
Ste A
Jackson, MI 49203
Phone (517) 936-7580

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": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1992339071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 OAKRIDGE DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033915",
            "telephone_number": "517-936-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S BROWN ST STE A",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492031481",
            "telephone_number": "517-936-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "ZOLMAN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "517-936-7580",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER FOR PROFESSIONAL COUNSELING",
            "identifier": "6401010101",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.