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
- 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 and National Provider Directory roles.
-
- Professional Counselor
- Grand Rapids, MI
- NPI 1457962078
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.