CONNOR KEONI JEWELL (NPI# 1205485497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205485497 |
Entity Type | Individual |
Full Name | CONNOR KEONI JEWELL |
Credential | MA, LLPC |
Practice Address |
1206 Clinton Rd Jackson MI 49202-2005 |
Practice Telephone | 5177834250 |
Practice Fax Number | 5176283217 |
Mailing Telephone | 5177834250 |
Mailing Fax Number | 5176283217 |
Enumeration Date | 2019-09-10 |
Last Update Date | 2019-09-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
1206 CLINTON RD |
City | JACKSON |
State | MI |
Zip Code | 49202-2005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720123706 | Highfields | Residential Treatment Facility, Emotionally Disturbed Children | 1206 Clinton Rd, Jackson, MI 49202-2005 | 2007-02-20 |
1801400536 | Alisha Shepherd | Social Worker | 1206 Clinton Rd, Jackson, MI 49202-2005 | 2020-09-01 |
1235755836 | Siara Underwood | Social Worker | 1206 Clinton Rd, Jackson, MI 49202-2005 | 2020-06-19 |
1265057152 | Kyleigh Lessard | Case Manager/Care Coordinator | 1206 Clinton Rd, Jackson, MI 49202-2005 | 2020-06-16 |
1639793680 | Andrew Huguelet | Community/Behavioral Health | 1206 Clinton Rd, Jackson, MI 49202-2005 | 2020-06-05 |
1720601073 | Andrea Schneider | Counselor | 1206 Clinton Rd, Jackson, MI 49202-2005 | 2020-05-21 |
1407476526 | Rene Ayanna Amsterdam | Social Worker | 1206 Clinton Rd, Jackson, MI 49202-2005 | 2020-04-18 |
1851946669 | Nathaniel Owsley | Social Worker | 1206 Clinton Rd, Jackson, MI 49202-2005 | 2019-08-08 |
1366912297 | Lizette Elgabalawi | Social Worker | 1206 Clinton Rd, Jackson, MI 49202-2005 | 2018-12-04 |
1861979320 | Christine Susan Delagrange | Counselor | 1206 Clinton Rd, Jackson, MI 49202-2005 | 2018-07-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
Find all providers in zip 49202 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477169423 | Chiquita Minor Hampton | Counselor | 3433 Exchange Dr, Jackson, MS 39212-4818 | 2020-09-16 |
1457986390 | Comfort Zone Counseling LLC | Counselor | 209 E Washington Ave Ste 330-d, Jackson, MI 49201-2393 | 2020-03-11 |
1255976825 | April Sue Montague | Counselor | 401 S Mechanic St, Jackson, MI 49201-2350 | 2019-11-07 |
1851950356 | Trunorth Counseling, Pllc | Counselor | 1312 Warren Ave, Upper Level, Rm #1, Jackson, MI 49203-3732 | 2019-06-08 |
1083176218 | Mindful Solutions, LLC | Counselor | 4500 I 55 N Ste 230, Jackson, MS 39211-5930 | 2019-04-05 |
1841757630 | Susan E Cumings | Counselor | 2811 W Morrell St, Jackson, MI 49203-2643 | 2019-02-27 |
1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
1619448669 | Toby Ribiat | Counselor | 10 Partree Rd, Jackson, NJ 08527-1710 | 2018-12-16 |
1679077242 | Lifespring Counseling Services | Counselor | 2938 E Michigan Ave, Jackson, MI 49202-3846 | 2018-03-20 |
1164920898 | Michael Anderson | Counselor | 502 Mccarty Ln Ste 5, Jackson, OH 45640-7025 | 2018-01-29 |
Find all providers in JACKSON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.