Healthcare Provider Details

I. General information

NPI: 1700793155
Provider Name (Legal Business Name): JADE & JASPER COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3940 29TH ST SE OFC 2
KENTWOOD MI
49512-1818
US

IV. Provider business mailing address

3940 29TH ST SE OFC 2
KENTWOOD MI
49512-1818
US

V. Phone/Fax

Practice location:
  • Phone: 616-415-3870
  • Fax:
Mailing address:
  • Phone: 616-415-3870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. JULIET REES
Title or Position: CLINICAL SOCIAL WORKER
Credential: LMSW-C, ACSW
Phone: 616-415-3870