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MR. JACK RANDALL WITHENSHAW SW, LMFT
NPI 1992968788
Marriage & Family Therapist in Port Huron, MI

Active since July 02, 2008
1101 MILITARY ST, PORT HURON, MI 48060(810) 984-5575(810) 984-6433 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jack Randall Withenshaw Sw, Lmft NPPES

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

MR. JACK RANDALL WITHENSHAW SW, LMFT (NPI 1992968788) is an individual marriage & family therapist in Port Huron, Michigan, licensed in Michigan (4101006147) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1992968788
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. JACK RANDALL WITHENSHAWCredential: SW, LMFT
Location Address1101 MILITARY STPort Huron, MI 48060-5418
Mailing Address1101 Military StPort Huron, MI 48060-5418 · (810) 984-5575 · Fax (810) 984-6433
Phone(810) 984-5575
Fax(810) 984-6433
Sole ProprietorNo
Enumeration DateJuly 2, 2008
✔ NPI 1992968788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MI · 4101006147
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedSocial WorkerTaxonomy 104100000X · License 6802065221 (MI)
1101 MILITARY ST, Port Huron, MI 48060
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Other Providers at the Same Location NPPES 14

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

COLONIAL WOODS MISSIONARY CHURCH
Clinic/Center
1101 MILITARY ST
PORT HURON, MI 48060
St. Clair County (810) 984-5575
MS. LINDA J MANG LPC
Counselor (Professional)
1101 MILITARY ST
PORT HURON, MI 48060
St. Clair County (810) 984-5575
MRS. BARBARA HELEN STOCKER MA, LPC
Counselor (Professional)
1101 MILITARY ST
PORT HURON, MI 48060
St. Clair County (810) 984-5575
MR. JACK D WOODBURN LPC
Counselor (Professional)
1101 MILITARY ST
PORT HURON, MI 48060
St. Clair County (810) 984-5575
MR. JONATHAN P HOWARD LMSW
Social Worker (Clinical)
1101 MILITARY ST
PORT HURON, MI 48060
St. Clair County (810) 984-5575
MRS. LAURA ALLISON GODWIN LLPC
Counselor (Professional)
1101 MILITARY ST
PORT HURON, MI 48060
St. Clair County (810) 984-5575
NANCY SCHWALM LPC
Counselor (Professional)
1101 MILITARY ST
PORT HURON, MI 48060
St. Clair County (810) 984-5575
MRS. LAURIE GOETZE LMSW, ACSW
Social Worker (Clinical)
1101 MILITARY ST
PORT HURON, MI 48060
St. Clair County (810) 984-5575

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 Jack Withenshaw's NPI number?

The NPI number for Jack Withenshaw is 1992968788. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Jack Withenshaw located?

Jack Withenshaw practices at 1101 Military St, Port Huron, MI 48060. The listed phone number is (810) 984-5575.

What is Jack Withenshaw's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

What insurance does Jack Withenshaw accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 2 other insurers list Jack Withenshaw 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 Jack Withenshaw was last updated on July 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.