JENNIFER BAZNER MA LPC LLC NPI 1750943262

NPI Information

NPI: 1750943262
Provider Name: JENNIFER BAZNER, MA, LPC LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4829 E BELTLINE AVE NE BLDG 1
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 446-1117
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JENNIFER BAZNER, MA, LPC LLC is a mental health counselor in Grand Rapids, MI. JENNIFER BAZNER, MA, LPC LLC NPI is 1750943262. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4829 E BELTLINE AVE NE BLDG 1
GRAND RAPIDS, MI
ZIP 49525-747
Phone: (616) 446-1117

The provider's authorized official is Jennifer L Bazner .
The authorized official title is Therapist/owner and has the following contact phone number (616) 446-1117.

The enumeration date for this NPI number is 7/3/2019 and was last updated on 7/3/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1417134453	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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