MICHIGAN-ONLINE THERAPY PLLC
NPI 1316582646
Counselor - Mental Health in Jackson, MI
About Michigan-online Therapy Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHIGAN-ONLINE THERAPY PLLC (NPI 1316582646) is a healthcare organization registered as a mental health in Jackson, Michigan and active in the NPI registry since November 2019. The organization lists Jessica Van Cleave, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michigan-online Therapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Michigan-Online Therapy PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Michigan-Online Therapy PLLC's NPI number?
The NPI number for Michigan-Online Therapy PLLC is 1316582646. It was assigned to this organization in the NPPES registry on November 11, 2019.
Where is Michigan-Online Therapy PLLC located?
Michigan-Online Therapy PLLC is located at 3970 Philrose Dr, Jackson, MI 49201. The listed phone number is (765) 543-7227.
What is Michigan-Online Therapy PLLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Michigan-Online Therapy PLLC enrolled in Medicare?
Yes. Michigan-Online Therapy PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Michigan-Online Therapy PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Michigan-Online Therapy PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Michigan-Online Therapy PLLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Michigan-Online Therapy PLLC 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 Michigan-Online Therapy PLLC was last updated on March 21, 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.
# Michigan-Online Therapy Pllc · NPI 1316582646
Mental Health organization in Jackson, Michigan. Organization record, active in the CMS NPPES registry since November 11, 2019.
## Identity
- **NPI:** 1316582646 (Entity type: Organization)
- **Enumerated:** November 11, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Jessica Van Cleave, OWNER
## Practice location
- **Address:** 3970 PHILROSE DR, Jackson, MI 49201-9129
- **Phone:** (765) 543-7227
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 21, 2024
- **Other identifiers:** Medicaid 1316582646 (MI); Other 1316582646
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Source: [NPI Profile](https://npiprofile.com/npi/1316582646) · Data from the CMS NPPES public registry.