Active NPI
Jessica Riddle, LLPC
- Professional Counselor
- Prudenville, MI
National Provider Identifier
1760991525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6451024510
- Practice address
- 1840 W Houghton Lake Dr
Prudenville, MI 48651-9672 - Phone
- (989) 390-9655
- NPI assigned
- Sep 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6451024510 | MI | Primary |
Addresses
Primary practice location
1840 W Houghton Lake Dr
Prudenville, MI 48651-9672
Mailing address
9249 W Lake City Rd
Houghton Lake, MI 48629-9602
Phone (989) 422-5122
Other names 1
- Jessica Vought
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451024510 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1760991525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9249 W LAKE CITY RD",
"city": "HOUGHTON LAKE",
"state": "MI",
"postal_code": "486299602",
"telephone_number": "989-422-5122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 W HOUGHTON LAKE DR",
"city": "PRUDENVILLE",
"state": "MI",
"postal_code": "486519672",
"telephone_number": "989-390-9655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDDLE",
"first_name": "JESSICA",
"credential": "LLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-25",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6451024510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "VOUGHT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Prudenville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.