Jake Pradko, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401225774 Issued in MI

Practice address

11111 Hall Rd Ste 300
Utica, MI 48317-5726

Phone

(586) 997-3153

NPI assigned

Dec 21, 2023

Sex

Male

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

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wentworth and Associates PCGroup PAC ID 9537140819, 9 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.

• Wentworth and Associates PC

  • Psychologist
  • Utica, MI
  • NPI 1306827191
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1619746377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N ALICE AVE",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 HALL RD STE 300",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175726",
            "telephone_number": "586-997-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADKO",
        "first_name": "JAKE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-21",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401225774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Physical Therapy Inc
• Bernadine A. Pickett, M.A., L.P.C, NCC
• Rhyzianne Pimental
• Polanski Quinn and Associates PLLC
• Rebecca Polanski, MA, TLLP
• Proactive Mental Health Services, LLC
• Procare Essential LLC
• Ariel Paige Pscheidl, OD
• Samantha Qarana, LMSW
• Genna Ramey, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.