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

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: October 25, 2026.

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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)

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.

Medicare Billing Reassignment

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

Counseling Center Of West Michigan, LLC
Same address
Mental Health
360 E BELTLINE AVE NE STE 100
Grand Rapids, MI 49506
  • Reassigned Medicare billing, Michigan enrollment
  • 287 clinicians in this Medicare group
NPI 1437610730 (616) 805-3660

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 20

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

STRATAGEM COUNSELING CENTER
Counselor (Mental Health)
360 E BELTLINE AVE NE STE 100
GRAND RAPIDS, MI 49506
Kent County (616) 805-3660
CARLEE JO IWEMA LLPC
Counselor (Professional)
360 E BELTLINE AVE NE STE 100
GRAND RAPIDS, MI 49506
Kent County (616) 805-3660
JUNE KUIPER LPC
Counselor (Professional)
360 E BELTLINE AVE NE STE 100
GRAND RAPIDS, MI 49506
Kent County (616) 805-3660
STEPHANIE MICHELLE KOKOT LMSW
Social Worker (Clinical)
360 E BELTLINE AVE NE STE 100
GRAND RAPIDS, MI 49506
Kent County (616) 805-3660
ANDREA L MARTIN LMSW
Social Worker (Clinical)
360 E BELTLINE AVE NE STE 100
GRAND RAPIDS, MI 49506
Kent County (616) 805-3660
MEGAN LINN WENZLAFF MSW
Social Worker (Clinical)
360 E BELTLINE AVE NE STE 100
GRAND RAPIDS, MI 49506
Kent County (616) 805-3660
DR. ROBERT ERNEST LEE PH.D.
Psychologist (Clinical)
360 E BELTLINE AVE NE STE 100
GRAND RAPIDS, MI 49506
Kent County (616) 805-3660
ERICA SCHAEFER LPC
Counselor (Professional)
360 E BELTLINE AVE NE STE 100
GRAND RAPIDS, MI 49506
Kent County (616) 805-3660

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 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.

Where is Jonathan Mikelsons located?

Jonathan Mikelsons practices at 360 E Beltline Ave NE Ste 100, Grand Rapids, MI 49506. The listed phone number is (269) 808-7198.

What is Jonathan Mikelsons's specialty?

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

Is Jonathan Mikelsons enrolled in Medicare?

Yes. Jonathan Mikelsons is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathan Mikelsons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Mikelsons reassigns Medicare benefits to Counseling Center Of West Michigan, LLC (Grand Rapids, 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 Jonathan Mikelsons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Mikelsons accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Jonathan Mikelsons 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 Jonathan Mikelsons was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.