MRS. JESSICA KELLEY M.A, LPC
NPI 1063816726
Counselor - Mental Health in Traverse City, MI
About Mrs. Jessica Kelley M.a, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JESSICA KELLEY M.A, LPC (NPI 1063816726) is an individual mental health provider in Traverse City, Michigan, licensed in Michigan (6401019150) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Jessica Kelley M.a, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jessica Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jessica Kelley's NPI number?
The NPI number for Jessica Kelley is 1063816726. It was assigned to this individual provider in the NPPES registry on October 9, 2014. The provider is also known as Ms. Jessica Novetske B.S..
Where is Jessica Kelley located?
Jessica Kelley practices at 3301 Veterans Dr Ste 205, Traverse City, MI 49684. The listed phone number is (231) 714-4532.
What is Jessica Kelley's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jessica Kelley enrolled in Medicare?
Yes. Jessica Kelley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jessica Kelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Kelley reassigns Medicare benefits to Adaptive Counseling And Case Management, LLC (Traverse City, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Kelley accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Jessica Kelley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jessica Kelley was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Jessica Kelley, M.A, LPC · NPI 1063816726
Mental Health provider in Traverse City, Michigan. Individual provider, active in the CMS NPPES registry since October 9, 2014.
## Identity
- **NPI:** 1063816726 (Entity type: Individual)
- **Enumerated:** October 9, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6401019150 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3301 VETERANS DR STE 205, Traverse City, MI 49684-4575
- **Phone:** (231) 714-4532
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Adaptive Counseling And Case Management, LLC (NPI 1588906119, Traverse City, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** June 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063816726) · Data from the CMS NPPES public registry.