Active NPI
Jessica Lea Cuellar
- Addiction (Substance Use Disorder) Counselor
- Grand Rapids, MI
National Provider Identifier
1013754050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 6451023720
- Practice address
- 30 Jefferson Ave SE
Grand Rapids, MI 49503-4304 - Phone
- (616) 303-1313
- NPI assigned
- Jul 9, 2024
- Last updated
- Jan 8, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6451023720 | MI | Primary |
| Mental Health Counselor | 101YM0800X | 6451023720 | ||
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
30 Jefferson Ave SE
Grand Rapids, MI 49503-4304
Mailing address
456 Dayburg Rd
Coldwater, MI 49036-9639
Phone (517) 617-2778
Other practice location 1
456 Dayburg Rd
Coldwater, MI 49036-9639
Phone (517) 617-2778
Other names 1
- Jessica Lea Zierle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451023720 | MI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cappon Consulting LLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767830400000",
"number": "1013754050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "456 DAYBURG RD",
"city": "COLDWATER",
"state": "MI",
"postal_code": "490369639",
"telephone_number": "517-617-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 JEFFERSON AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034304",
"telephone_number": "616-303-1313"
}
],
"practiceLocations": [
{
"address_1": "456 Dayburg Rd",
"address_purpose": "LOCATION",
"city": "Coldwater",
"state": "MI",
"postal_code": "490369639",
"country_code": "US",
"telephone_number": "517-617-2778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUELLAR",
"first_name": "JESSICA",
"middle_name": "LEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-09",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "6451023720",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "6451023720",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "ZIERLE",
"middle_name": "LEA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.