Healthcare Provider Details

I. General information

NPI: 1275958902
Provider Name (Legal Business Name): JENNIFER MERCER MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2014
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17852 MAUMEE AVE
GROSSE POINTE MI
48230-1612
US

IV. Provider business mailing address

32680 S RIVER RD
HARRISON TOWNSHIP MI
48045-5704
US

V. Phone/Fax

Practice location:
  • Phone: 313-246-4331
  • Fax: 313-331-6428
Mailing address:
  • Phone: 586-915-2546
  • Fax: 313-321-6428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401012523
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: