MRS. JESSICA KELLEY M.A, LPC
NPI 1063816726
Counselor - Mental Health in Traverse City, MI

Active since October 09, 2014PECOS EnrolledAccepts Medicare Assignment
3301 VETERANS DR STE 205, TRAVERSE CITY, MI 49684(231) 714-4532 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 16, 2026, Jul 10, 2025, Jan 4, 2017 and 1 more (4 updates tracked since 2016).

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

NPI1063816726
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JESSICA KELLEYCredential: M.A, LPC
Location Address3301 VETERANS DR STE 205Traverse City, MI 49684-4575
Mailing Address3615 Vance RdTraverse City, MI 49685-8512
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 9, 2014
Last NPPES UpdateJune 17, 20264 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
NPI 1063816726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MI · 6401019150
3301 VETERANS DR STE 205, Traverse City, MI 49684

Other Names 1

Former Name (1)Ms. Jessica Novetske B.s.

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID6709376999
PECOS Enrollment IDI20251106001770
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
3301 VETERANS DR STE 205
TRAVERSE CITY, MI 49684

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063816726, enumerated as an "individual" on October 09, 2014.

The provider is located at 3301 VETERANS DR STE 205 TRAVERSE CITY, MI 49684 and the phone number is (231) 714-4532.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.