Individual provider Active NPI

Jessica Mae Pigott, LPC

  • Professional Counselor
  • Jackson, MI
National Provider Identifier
1720667108
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401222264 Issued in MI
Practice address
207 1St St
Jackson, MI 49201-2102
Phone
(517) 998-4673
Fax
(517) 998-0005
NPI assigned
Apr 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401017518 MI
Professional Counselor 101YP2500X 6401222264 MI Primary

Addresses

Primary practice location

207 1St St
Jackson, MI 49201-2102

Mailing address

207 1St St
Jackson, MI 49201-2102
Phone (517) 998-4673

Other practice location 1

1218 Greenwood Ave
Jackson, MI 49203-3037
Phone (517) 998-4673

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
I20240105001270 MI Practitioner - Mental Health Counselor 2264883057 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401017518MIMDCounselor
6401222264MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Healing Place, LLC CurrentSince Dec 29, 2023 Accepting new patients
Red Bird Counseling Services LLC Professional Current Accepting new patients

Locations

1218 Greenwood Ave
Jackson, MI 49203
Phone (517) 990-0596

207 1st St
Jackson, MI 49201
Phone (517) 998-4673

Organizations & group practices 2

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": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1720667108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 1ST ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012102",
            "telephone_number": "517-998-4673",
            "fax_number": "517-998-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 1ST ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012102",
            "telephone_number": "517-998-4673",
            "fax_number": "517-998-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1218 Greenwood Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492033037",
            "country_code": "US",
            "telephone_number": "517-998-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIGOTT",
        "first_name": "JESSICA",
        "middle_name": "MAE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401017518",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401222264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.