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MYRANDA JENNINGS
NPI 1104364124
Counselor in Southfield, MI

Active since February 09, 2017PECOS Enrolled
17320 W 12 MILE RD, SOUTHFIELD, MI 48076(586) 806-9726 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Myranda Jennings NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYRANDA JENNINGS (NPI 1104364124) is an individual counselor in Southfield, Michigan and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104364124
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMYRANDA JENNINGS
Location Address17320 W 12 MILE RDSouthfield, MI 48076-2100
Mailing Address18803 Woodland StHarper Woods, MI 48225-2017
Phone(586) 806-9726
Sole ProprietorNo
Enumeration DateFebruary 9, 2017
✔ NPI 1104364124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
17320 W 12 MILE RD, Southfield, MI 48076
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Myranda Jennings is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE ROSE ADAMOWSKI
Social Worker (Clinical)
17320 W 12 MILE RD
SOUTHFIELD, MI 48076
Oakland County (248) 727-3456
SEAN MCGRAW LPC
Counselor (Professional)
17320 W 12 MILE RD
SOUTHFIELD, MI 48076
Oakland County (586) 648-0811
MS. PERSONNA HOVER NA
Student in an Organized Health Care Education/Training Program
17320 W 12 MILE RD
SOUTHFIELD, MI 48076
Oakland County (313) 974-1335
BRENDA NAHIELY REZA
Student in an Organized Health Care Education/Training Program
17320 W 12 MILE RD
SOUTHFIELD, MI 48076
Oakland County (248) 727-3456
MS. ASHLEY LIAT ATTAR LLMSW
Social Worker
17320 W 12 MILE RD
SOUTHFIELD, MI 48076
Oakland County (248) 727-3456
ELISABETH PIXLEY-FINK LLMSW
Social Worker (Clinical)
17320 W 12 MILE RD
SOUTHFIELD, MI 48076
Oakland County (248) 727-3456
LAUREL CATHERINE SCHUCKENBROCK
Student in an Organized Health Care Education/Training Program
17320 W 12 MILE RD
SOUTHFIELD, MI 48076
Oakland County (248) 727-3456
DAVID ZAPORSKI MSW
Social Worker (Clinical)
17320 W 12 MILE RD, SUITE 101
SOUTHFIELD, MI 48076
Oakland County (248) 302-0027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Myranda Jennings's NPI number?

The NPI number for Myranda Jennings is 1104364124. It was assigned to this individual provider in the NPPES registry on February 9, 2017.

Where is Myranda Jennings located?

Myranda Jennings practices at 17320 W 12 Mile Rd, Southfield, MI 48076. The listed phone number is (586) 806-9726.

What is Myranda Jennings's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Myranda Jennings enrolled in Medicare?

Yes. Myranda Jennings is registered in the Medicare PECOS enrollment system.

What insurance does Myranda Jennings accept?

Health plans from McLaren Health Plan Community and Priority Health list Myranda Jennings as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Myranda Jennings was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.