Jessica Van Cleave, MA, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401014184 Issued in MI

Practice address

3970 Philrose Dr
Jackson, MI 49201-9129

Phone

(765) 543-7227

NPI assigned

Mar 22, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

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  • NPI 1316582646
  Medicare reassignment NPD Authorized official
• Lifespring Counseling Services

  • Counselor
  • Jackson, MI
  • NPI 1679077242
  NPD

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

{
    "created_epoch": "1395446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1316364862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 PHILROSE DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019129",
            "telephone_number": "765-543-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 PHILROSE DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019129",
            "telephone_number": "765-543-7227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4228 Page Ave",
            "address_purpose": "LOCATION",
            "city": "Michigan Center",
            "state": "MI",
            "postal_code": "492541072",
            "country_code": "US",
            "telephone_number": "517-244-6050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN CLEAVE",
        "first_name": "JESSICA",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-22",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401014184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Lynn Vail, PTA
• Johnathon Valentin
• Brandon Valentine
• Kendra Valentine
• Julia L Van Aken, RPH
• Karen Van Eck, CNP
• Courtney Van Tassell, CRNA
• Madelyn Vanarsdalen
• Morgan Nees Vanbaalen, MD
• Colleen Mae Vancampen, LLPC

• Counselor in Jackson, MI
• Providers in Jackson, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.