Tessa Rose Jianxia Dodge, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801108791 Issued in MI

Practice address

3970 Heritage Ave
Okemos, MI 48864-3344

Phone

(517) 507-5892

Fax

(517) 258-2951

NPI assigned

Jan 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tessa Rose J Simon Former name

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spring Forest Counseling LLPGroup PAC ID 4183043698, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spring Forest Counseling LLP

  • Mental Health Counselor
  • Okemos, MI
  • NPI 1841744299
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1619566916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 HERITAGE AVE",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643344",
            "telephone_number": "517-507-5892",
            "fax_number": "517-258-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 HERITAGE AVE",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643344",
            "telephone_number": "517-507-5892",
            "fax_number": "517-258-2951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2460 Burton St SE Ste 301",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495464800",
            "country_code": "US",
            "telephone_number": "517-507-5892",
            "fax_number": "517-258-2951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODGE",
        "first_name": "TESSA",
        "middle_name": "ROSE JIANXIA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801108791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "SIMON",
            "middle_name": "ROSE J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Discover Smiles Pediatric Dentistry
• Discovery Through Movement, LLC
• Anne Michelle Disney, OTR/L
• Aaron Dixon
• Kailey Dodge
• Paul Michael Doher, M. ED.
• Danielle Dohr
• Ellen Mary Dohr, OD
• Aleesa Dominguez
• Domino Counseling Services LLC

• Social Worker in Okemos, MI
• Providers in Okemos, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.