Organization Active NPI

Catholic Charities of Ingham, Eaton and Clinton Counties

  • Dentist
  • Lansing, MI
National Provider Identifier
1992673024
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CATHOLIC CHARITIES OF INGHAM, EATON AND CLINTON COUNTIES
Practice address
2800 W Willow St
Lansing, MI 48917-1833
Phone
(517) 913-0015
Fax
(517) 913-0014
NPI assigned
Oct 29, 2025
Organization subpart
Yes
Parent organization
CATHOLIC CHARITIES OF INGHAM, EATON AND CLINTON COUNTIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Jenifer Ackley
Title
Health Operations Manager
Phone
(517) 371-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2800 W Willow St
Lansing, MI 48917-1833

Mailing address

2800 W Willow St
Lansing, MI 48917-1833
Phone (517) 913-0015

National Provider Directory

National Provider Directory
Tax ID family
Cristo Rey Comm Ctr MNT3 organizations share this tax ID, including this one
Part of
Cristo Rey Comm Ctr MNT

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2800 W Willow St
Lansing, MI 48917
Phone (517) 323-4734

NPI Registry JSON

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1992673024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W WILLOW ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171833",
            "telephone_number": "517-913-0015",
            "fax_number": "517-913-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W WILLOW ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171833",
            "telephone_number": "517-913-0015",
            "fax_number": "517-913-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF INGHAM, EATON AND CLINTON COUNTIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC CHARITIES OF INGHAM, EATON AND CLINTON COUNTIES",
        "enumeration_date": "2025-10-29",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "ACKLEY",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_title_or_position": "HEALTH OPERATIONS MANAGER",
        "authorized_official_telephone_number": "517-371-1700"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.