MR. JONATHAN JURIS MIKELSONS LPC, SCL
NPI 1558136556
Counselor in Grand Rapids, MI

Q: What is Jonathan Mikelsons's NPI number?

The NPI number for Jonathan Mikelsons is 1558136556. It was assigned to this individual provider in the NPPES registry on November 20, 2023.

Q: What is Jonathan Mikelsons's specialty?

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

Active since November 20, 2023PECOS Enrolled

360 E BELTLINE AVE NE STE 100, GRAND RAPIDS, MI 49506(269) 808-7198 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Jonathan Juris Mikelsons Lpc, Scl NPPES

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

MR. JONATHAN JURIS MIKELSONS LPC, SCL (NPI 1558136556) is an individual counselor in Grand Rapids, Michigan, licensed in Michigan (6401225604) and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1558136556

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMR. JONATHAN JURIS MIKELSONSCredential: LPC, SCL

Location Address360 E BELTLINE AVE NE STE 100Grand Rapids, MI 49506-1214

Mailing Address333 Bridge St Nw Ste 1120Grand Rapids, MI 49504-5356

Phone(269) 808-7198

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 20, 2023

Last NPPES UpdateOctober 15, 2025

NPPES CertifiedOctober 15, 2025

✔ NPI 1558136556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MI · 6401225604

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6401225604 (MI)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6401225604 (MI)

360 E BELTLINE AVE NE STE 100, Grand Rapids, MI 49506

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jonathan Juris Mikelsons Lpc, Scl is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527556158

PECOS Enrollment IDI20251024000469

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 20

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

STRATAGEM COUNSELING CENTER

Counselor (Mental Health)