JESSICA BLAIR PETERS MA, LPC
NPI 1508338229
Counselor - Professional in Novi, MI

Q: What is Jessica Peters's NPI number?

The NPI number for Jessica Peters is 1508338229. It was assigned to this individual provider in the NPPES registry on December 19, 2018.

Q: What is Jessica Peters's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Peters was last updated on November 30, 2023. 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.

Active since December 19, 2018PECOS EnrolledAccepts Medicare Assignment

41800 W 11 MILE RD STE 110, NOVI, MI 48375(947) 219-1283 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2020, Dec 19, 2018 (2 updates tracked since 2018).

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About Jessica Blair Peters Ma, Lpc NPPES

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

JESSICA BLAIR PETERS MA, LPC (NPI 1508338229) is an individual professional provider in Novi, Michigan, licensed in Michigan (6401018211) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1508338229

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJESSICA BLAIR PETERSCredential: MA, LPC

Location Address41800 W 11 MILE RD STE 110Novi, MI 48375-1818

Mailing Address41800 W 11 Mile Rd Ste 110Novi, MI 48375-1818 · (947) 219-1283

Phone(947) 219-1283

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateDecember 19, 2018

Last NPPES UpdateNovember 30, 20232 updates tracked since enumeration

NPPES CertifiedNovember 30, 2023

✔ NPI 1508338229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in MI · 6401018211✔ Licensed in MI · 6401016415

41800 W 11 MILE RD STE 110, Novi, MI 48375

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Secondary Practice Locations 2

Location 136400 Woodward Ave Ste 222Bloomfield Hills, MI 48304-0913 · Phone (248) 629-2799

Location 26960 Orchard Lake Rd Ste 202West Bloomfield, MI 48322-4519 · Phone (248) 985-9942 · Fax (248) 221-1775

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, McLaren Health Plan Community and more.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

Jessica Blair Peters Ma, 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 ID6305295015

PECOS Enrollment IDI20231206003520

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 10

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

HOLLY SUE METZGER MSW, LMSW

Social Worker (Clinical)