Jessica Fealk

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401013277 Issued in MI

Practice address

1474 Oakstone Dr
Rochester Hills, MI 48309-1750

Phone

(248) 242-5763

NPI assigned

Dec 31, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 2, 2024 through Feb 2, 2028

Medicare enrollment (NPD)

Not enrolled

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.

• Daly Counseling & Consulting, PLLC

  • Professional Counselor
  • Rochester Hills, MI
  • NPI 1912504986

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1388448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1720409261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1474 OAKSTONE DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1474 OAKSTONE DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091750",
            "telephone_number": "248-242-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEALK",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-31",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seina Farshadsefat, D.O.
• Jessica Fasse
• Farid T Fata, M.D.
• Meghan Ceverena Faught
• FD Farah Mi PLLC
• Brooke Fecteau, MA, LLC, CTP
• Florante Fermil, M.D.
• Mindy Fernando
• Kathleen B Figurski, RN, CNM
• Kaylie Filzek, MA, LLPC

• All providers in Rochester Hills, MI
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.