Individual provider Active NPI

Jean Moree, LPC, NCC, CCTS-I

  • Counselor
  • Petoskey, MI
National Provider Identifier
1083215347
Registry record updated Jul 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401223068 Issued in MI
Practice address
3890 Charlevoix Rd Ste 304
Petoskey, MI 49770-8423
Phone
(231) 486-5434
Fax
(877) 406-2565
NPI assigned
Nov 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401223068 MI Primary
Mental Health Counselor 101YM0800X 6401223068 MI
Professional Counselor 101YP2500X 6401223068 MI
Professional Counselor 101YP2500X 2024015414 MO
Counselor 101Y00000X 2024015414 MO
Mental Health Counselor 101YM0800X 2024015414 MO

Addresses

Primary practice location

3890 Charlevoix Rd Ste 304
Petoskey, MI 49770-8423

Mailing address

PO Box 14
Walloon Lake, MI 49796-0014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218001668 MI Practitioner - Mental Health Counselor 4284161019 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024015414MOMDCounselor
6401223068MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Perspectives Counseling, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783209600000",
    "number": "1083215347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "city": "WALLOON LAKE",
            "state": "MI",
            "postal_code": "497960014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 CHARLEVOIX RD STE 304",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708423",
            "telephone_number": "231-486-5434",
            "fax_number": "877-406-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREE",
        "first_name": "JEAN",
        "credential": "LPC, NCC, CCTS-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2026-07-05",
        "certification_date": "2026-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401223068",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401223068",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401223068",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2024015414",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2024015414",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2024015414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.