Jack Pine Wellness, Pllc
Jack Pine Wellness, Pllc is a healthcare organization registered as Clinical Social Worker in Bad Axe, MI, holding Type 2 (organization) NPI 1356106348 since 2024. The authorized official on file is Crysta Ransom-Soper, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1356106348 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jack Pine Wellness, Pllc |
| Practice address | 138 HARTSHORN ST, Bad Axe, MI, 48413 |
| Phone | 9895230002 |
| Enumeration date | 2024-02-19 |
| Last updated in NPPES | 2024-06-17 |
Authorized official
| Name | Crysta Ransom-Soper |
|---|---|
| Title | Owner |
| Phone | 9895230002 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1041C0700X | Clinical Social Worker | Primary | — | — |
Copy-ready billing details
Provider: Jack Pine Wellness, Pllc NPI: 1356106348 Taxonomy: 1041C0700X (Clinical Social Worker) Address: 138 HARTSHORN ST, Bad Axe, MI, 48413
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619392081 | Shauna Booms | Individual | Student in an Organized Health Care Education/Training Program | Bad Axe, MI |
Verify this record
Cross-check NPI 1356106348 against the authoritative CMS record: view Jack Pine Wellness, Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Jack Pine Wellness, Pllc?
Who is the authorized official for Jack Pine Wellness, Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-06-17.