IndividualActive
Myranda Jennings
NPI 1104364124 · Counselor · Southfield, MI
Myranda Jennings is a Counselor provider in Southfield, MI (NPI 1104364124).
Provider details
- NPI number
- 1104364124
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17320 W 12 Mile Rd
Southfield, MI 48076-2100
Phone: (586) 806-9726
Street-level locationGet directions
Mailing address
18803 Woodland St
Harper Woods, MI 48225-2017
Registry dates
- Enumerated
- 2017-02-09
- Last updated
- 2017-02-09
Frequently asked questions
- What is Myranda Jennings's NPI number?
- Myranda Jennings's National Provider Identifier (NPI) is 1104364124, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Myranda Jennings's specialty?
- Myranda Jennings is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Myranda Jennings located?
- Myranda Jennings's practice location on file with NPPES is 17320 W 12 Mile Rd, Southfield, MI 48076-2100.
- What is Myranda Jennings's phone number?
- The practice phone number listed in the NPPES registry for Myranda Jennings is (586) 806-9726.
- Is Myranda Jennings's NPI active?
- Yes — Myranda Jennings's NPI (1104364124) is active in the NPPES registry as of the last update on 2017-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.