Healthcare Provider Details

I. General information

NPI: 1346151503
Provider Name (Legal Business Name): JAROD THOMAS LLPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8828 RAILWOOD DR
NEWPORT MI
48166-7825
US

IV. Provider business mailing address

8828 RAILWOOD DR
NEWPORT MI
48166-7825
US

V. Phone/Fax

Practice location:
  • Phone: 734-365-2810
  • Fax:
Mailing address:
  • Phone: 734-365-2810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberTPIH230
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451025172
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: