Individual provider Active NPI

Jill Cleveland, M.A., LPC, CAADC

  • Professional Counselor
  • Hillsdale, MI
National Provider Identifier
1285781047
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401009742 Issued in MI
Practice address
185 W Fayette St
Hillsdale, MI 49242-1014
Phone
(517) 474-1858
Fax
(866) 223-1175
NPI assigned
Jan 4, 2007
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401009742 MI Primary

Addresses

Primary practice location

185 W Fayette St
Hillsdale, MI 49242-1014

Mailing address

185 W Fayette St
Hillsdale, MI 49242-1014
Phone (517) 439-5385

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
I20250507001779 MI Practitioner - Mental Health Counselor 1658898259 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson-Hillsdale Community Mental Health Board CurrentSince Apr 1, 2025 Accepting new patients
Jackson-Hillsdale Community Mental Health Board CurrentSince Apr 1, 2025 Accepting new patients
Still Waters Counseling, LLC Past Accepting new patients

Locations

25 Care Dr
Hillsdale, MI 49242
Phone (517) 439-2641

1200 N West Ave
Jackson, MI 49202
Phone (517) 789-1200

Organizations & group practices 3

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1285781047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 W FAYETTE ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421014",
            "telephone_number": "517-439-5385",
            "fax_number": "866-223-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 W FAYETTE ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421014",
            "telephone_number": "517-474-1858",
            "fax_number": "866-223-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "JILL",
        "credential": "M.A., LPC, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

Verify at the official NPI Registry.