Diana Jennings, MS LLP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6301009026 Issued in MI

Practice address

888 W Big Beaver Rd Ste 1450
Troy, MI 48084-4762

Phone

(248) 244-8644

Fax

(248) 244-1330

NPI assigned

Oct 2, 2006

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)

Enrolled

Credentials

Master of Science

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.

• Optum Behavioral Care of Colorado, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Troy, MI
  • NPI 1619734969
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992898183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43357 DANIEL DR",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481115378",
            "telephone_number": "248-244-8644",
            "fax_number": "248-244-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 W BIG BEAVER RD STE 1450",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844762",
            "telephone_number": "248-244-8644",
            "fax_number": "248-244-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "DIANA",
        "credential": "MS LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301009026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jefrey Fishman, M.D. P.C.
• Brandi Jenkins-Larkin, RBT
• Teresa Lynn Jenkins
• Jenni Knowles, PH.D., LP, LLC
• Alison Margaret Jennings
• Kyle D. Jennings, CRNA
• Dwana Jezierski
• Aditya Jha
• Jignesh N. Patel, D.O., PLLC
• Jill Kaczor, LMSW

• Counseling Psychologist in Troy, MI
• Providers in Troy, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.