Michigan-Online Therapy PLLC
NPI 1316582646ActiveOrganization· Counselor, Mental Health· Jackson, MI
Counselor, Mental Health in Jackson, Michigan, registered in NPPES in November 2019. The authorized official on file is Jessica Van Cleave, LPC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316582646 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 11, 2019 |
| Last updated in NPPES | Mar 21, 2024 |
| Certified by provider | Mar 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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