Individual provider Active NPI

Christine Frieda Gjestland, LBSW, MA:LPC

  • Professional Counselor
  • Jackson, MI
National Provider Identifier
1487997797
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401012098 Issued in MI
Practice address
126 Seymour Ave
Jackson, MI 49202-3558
Phone
(734) 726-4038
NPI assigned
Apr 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6802073487 MI
Professional Counselor 101YP2500X 6401012098 MI Primary

Addresses

Primary practice location

126 Seymour Ave
Jackson, MI 49202-3558

Mailing address

126 Seymour Ave
Jackson, MI 49202-3558
Phone (734) 726-4038

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
I20240122000664 MI Practitioner - Mental Health Counselor 9335591767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Healing Clinic LLCGroup PAC ID 0840603031, 9 clinicians

Practice addresses (Care Compare)

2020 Cascade Dr
Jackson, MI 49203-3810
Phone (734) 426-4038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6802073487MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Healing Clinic LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

720 W Franklin St
Jackson, MI 49201
Phone (517) 581-4710

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.

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1487997797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 SEYMOUR AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023558",
            "telephone_number": "734-726-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 SEYMOUR AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023558",
            "telephone_number": "734-726-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GJESTLAND",
        "first_name": "CHRISTINE",
        "middle_name": "FRIEDA",
        "name_prefix": "Mrs.",
        "credential": "LBSW, MA:LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802073487",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.