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MRS. JENNIFER NICHOLE SUSAN MA, LLPC
NPI 1417561945
Counselor - Professional in Troy, MI

Active since September 02, 2020PECOS Enrolled
1080 KIRTS BLVD STE 100, TROY, MI 48084(586) 744-9902 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2020, Sep 2, 2020 (2 updates tracked since 2020).

About Mrs. Jennifer Nichole Susan Ma, Llpc NPPES

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

MRS. JENNIFER NICHOLE SUSAN MA, LLPC (NPI 1417561945) is an individual professional provider in Troy, Michigan and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417561945
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. JENNIFER NICHOLE SUSANCredential: MA, LLPC
Location Address1080 KIRTS BLVD STE 100Troy, MI 48084-4853
Mailing Address16212 Timberview DrClinton Twp, MI 48036-1655 · (586) 744-9902
Phone(586) 744-9902
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 2, 2020
Last NPPES UpdateSeptember 17, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2020
✔ NPI 1417561945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1080 KIRTS BLVD STE 100, Troy, MI 48084
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Oscar Insurance Company, Priority Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jennifer Nichole Susan Ma, Llpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244796456
PECOS Enrollment IDI20260728004991
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 Jennifer Susan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stellar Clinic Ct PLLC
17 mi
Mental Health
220 W CONGRESS ST
Detroit, MI 48226
  • Reassigned Medicare billing, Michigan enrollment
  • 12 clinicians in this Medicare group
NPI 1609641042 (734) 584-0133

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.

SMA ENDODONTICS PLLC
Dentist (Endodontics)
1080 KIRTS BLVD STE 100
TROY, MI 48084
Oakland County (616) 322-8690

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 Jennifer Susan's NPI number?

The NPI number for Jennifer Susan is 1417561945. It was assigned to this individual provider in the NPPES registry on September 2, 2020.

Where is Jennifer Susan located?

Jennifer Susan practices at 1080 Kirts Blvd Ste 100, Troy, MI 48084. The listed phone number is (586) 744-9902.

What is Jennifer Susan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jennifer Susan enrolled in Medicare?

Yes. Jennifer Susan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Susan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Susan reassigns Medicare benefits to Stellar Clinic Ct PLLC (Detroit, 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 Jennifer Susan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Susan accept?

Health plans from Blue Care Network of Michigan, Oscar Insurance Company, Priority Health and UnitedHealthcare list Jennifer Susan 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 Jennifer Susan was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.