Individual provider Active NPI

Jenna Rae Gepper, LPC

  • Professional Counselor
  • Waterford, MI
National Provider Identifier
1942679923
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401014905 Issued in MI
Practice address
1255 N. Oakland Blvd
Waterford, MI 48327
Phone
(248) 599-8999
NPI assigned
Sep 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401014905 MI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6401014905 MI

Addresses

Primary practice location

1255 N. Oakland Blvd
Waterford, MI 48327

Mailing address

1255 N. Oakland Blvd
Waterford, MI 48327
Phone (248) 599-8999

Other names 1

  • Miss Jenna Rae Walker Former name

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
I20231208001964 MI Practitioner - Mental Health Counselor 2365891843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

Practice addresses (Care Compare)

2628 S Milford Rd
Highland, MI 48357-4938
Phone (810) 494-7180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC Professional CurrentSince Jan 1, 2024 Accepting new patients
Downriver Mental Health Clinic PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787

1100 Torrey Rd
Ste 100
Fenton, MI 48430
Phone 8104947180106

2628 S Milford Rd
Highland, MI 48357
Phone (248) 529-3049

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.jennagepper@150339.advancedmd-direct.com

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": "1442620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1942679923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 N. OAKLAND BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "48327",
            "telephone_number": "248-599-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 N. OAKLAND BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "48327",
            "telephone_number": "248-599-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEPPER",
        "first_name": "JENNA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-19",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014905",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401014905",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "WALKER",
            "middle_name": "RAE",
            "prefix": "MISS",
            "credential": "LLPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.