Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jenelle Mazaris

Individual provider Marriage & Family Therapist · NPI 1700247962

Jenelle Mazaris is a Marriage and Family Therapist in Plymouth, Michigan. Qualified in 2008, 18 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
18
Licensed in
MI
In the registry since
2016

Practice location Address checks out

705 S Main St Ste 280
Plymouth, MI 48170-2089
Phone: (734) 454-3560
Fax: (734) 454-3570
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 4101006577 (MI)

Record details

NPI number1700247962
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 16, 2016
Last updated in NPPESMarch 16, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Plymouth