JENNIFER BAZNER, MA, LPC LLC
NPI 1750943262
Counselor - Mental Health in Grand Rapids, MI

Active since July 03, 2019
4829 E BELTLINE AVE NE BLDG 1, GRAND RAPIDS, MI 49525(616) 446-1117 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Bazner, Ma, Lpc Llc NPPES

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

JENNIFER BAZNER, MA, LPC LLC (NPI 1750943262) is a healthcare organization registered as a mental health in Grand Rapids, Michigan and active in the NPI registry since July 2019. The organization lists Jennifer L Bazner, Therapist/owner, as its authorized official.

NPPES Registry Identity

NPI1750943262
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameJENNIFER BAZNER, MA, LPC LLC
Location Address4829 E BELTLINE AVE NE BLDG 1Grand Rapids, MI 49525-9747
Mailing Address4829 E Beltline Ave Ne Bldg 1Grand Rapids, MI 49525-9747 · (616) 446-1117
Organization SubpartNo
Authorized OfficialJennifer L BaznerTherapist/owner · (616) 446-1117
Enumeration DateJuly 3, 2019
NPI 1750943262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4829 E BELTLINE AVE NE BLDG 1, Grand Rapids, MI 49525

Other Identifiers 1

Medicaid1417134453MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
4829 E BELTLINE AVE NE BLDG 1, SUITE 100
GRAND RAPIDS, MI 49525

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 Jennifer Bazner, Ma, Lpc LLC's NPI number?

The NPI number for Jennifer Bazner, Ma, Lpc LLC is 1750943262. It was assigned to this organization in the NPPES registry on July 3, 2019.

Where is Jennifer Bazner, Ma, Lpc LLC located?

Jennifer Bazner, Ma, Lpc LLC is located at 4829 E Beltline Ave NE Bldg 1, Grand Rapids, MI 49525. The listed phone number is (616) 446-1117.

What is Jennifer Bazner, Ma, Lpc LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jennifer Bazner, Ma, Lpc LLC was last updated on July 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.