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CONNOR KEONI JEWELL MA, LLPC
NPI 1205485497
Counselor in Chelsea, MI

Active since September 10, 2019PECOS EnrolledAccepts Medicare Assignment
14800 E OLD US HIGHWAY 12, CHELSEA, MI 48118(734) 719-0380(734) 292-8239 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 3, 2024, Sep 10, 2019 (2 updates tracked since 2019).

About Connor Keoni Jewell Ma, Llpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNOR KEONI JEWELL MA, LLPC (NPI 1205485497) is an individual counselor in Chelsea, Michigan and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ann Arbor, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205485497
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameCONNOR KEONI JEWELLCredential: MA, LLPC
Location Address14800 E OLD US HIGHWAY 12Chelsea, MI 48118-2110
Mailing Address14800 E Old Us Highway 12Chelsea, MI 48118-2110 · (734) 719-0380 · Fax (734) 292-8239
Phone(734) 719-0380
Fax(734) 292-8239
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 10, 2019
Last NPPES UpdateJuly 3, 20242 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1205485497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
14800 E OLD US HIGHWAY 12, Chelsea, MI 48118
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Secondary Practice Location 1

Location 12301 S Huron Pkwy Ste 3DAnn Arbor, MI 48104-5133 · Phone (734) 719-0380 · Fax (734) 292-8239

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Connor Keoni Jewell Ma, Llpc 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 ID8921542564
PECOS Enrollment IDI20240707000069
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.

Medicare Billing Reassignment

Medicare enrollment records show Connor Jewell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Timber Creek Counseling, LLC
Same address
Clinical
14800 E OLD US HIGHWAY 12
Chelsea, MI 48118
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
NPI 1194213322 (734) 719-0380

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 15

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

SYDNEY FRIEND LLC
Counselor
14800 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 719-0380
HANNAH BATTLES
Social Worker (Clinical)
14800 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 710-0380
TIMBER CREEK COUNSELING, LLC
Psychologist (Clinical)
14800 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 719-0380
MCKENZE THOMPSON
Physical Therapist
14800 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 593-6370
CAMERON AGRAZ
Physical Therapist
14800 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 593-6370
ANDREW CUTHBERT
Psychologist (Clinical)
14800 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 719-0380
REBECCA WILCOX
Social Worker (Clinical)
14800 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 719-0380
KIM MOYA
Counselor (Mental Health)
14800 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 719-0380

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 Connor Jewell's NPI number?

The NPI number for Connor Jewell is 1205485497. It was assigned to this individual provider in the NPPES registry on September 10, 2019.

Where is Connor Jewell located?

Connor Jewell practices at 14800 E Old Us Highway 12, Chelsea, MI 48118. The listed phone number is (734) 719-0380.

What is Connor Jewell's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Connor Jewell enrolled in Medicare?

Yes. Connor Jewell 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 Connor Jewell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connor Jewell reassigns Medicare benefits to Timber Creek Counseling, LLC (Chelsea, 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 Connor Jewell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Connor Jewell accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Connor Jewell 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 Connor Jewell was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.