JESSICA ROSE BONNEVILLE MA, LPC
NPI 1578071841
Counselor - Professional in Okemos, MI

Active since January 19, 2018PECOS Enrolled
3899 OKEMOS RD STE A1, OKEMOS, MI 48864(517) 507-5892(517) 258-2951 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Rose Bonneville Ma, Lpc NPPES

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

JESSICA ROSE BONNEVILLE MA, LPC (NPI 1578071841) is an individual professional provider in Okemos, Michigan and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1578071841
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA ROSE BONNEVILLECredential: MA, LPC
Location Address3899 OKEMOS RD STE A1Okemos, MI 48864-3666
Mailing Address111 N Clinton Ave Apt 5Saint Johns, MI 48879-1529 · (616) 915-6548
Fax(517) 258-2951
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 19, 2018
Last NPPES UpdateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
NPI 1578071841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
3899 OKEMOS RD STE A1, Okemos, MI 48864

Other Names 1

Former Name (1)Jessica Rose Mariano Ma, Lpc

Accepted 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)

Jessica Rose Bonneville Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638652084
PECOS Enrollment IDI20260313000582
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.

Counselor (Mental Health)
3899 OKEMOS RD STE A1
OKEMOS, MI 48864
Social Worker (Clinical)
3899 OKEMOS RD STE A1
OKEMOS, MI 48864
Counselor (Professional)
3899 OKEMOS RD STE A1
OKEMOS, MI 48864
Social Worker
3899 OKEMOS RD STE A1
OKEMOS, MI 48864
Social Worker (Clinical)
3899 OKEMOS RD STE A1
OKEMOS, MI 48864
Counselor (Mental Health)
3899 OKEMOS RD STE A1
OKEMOS, MI 48864
Counselor (Mental Health)
3899 OKEMOS RD STE A1
OKEMOS, MI 48864
Counselor (Mental Health)
3899 OKEMOS RD STE A1
OKEMOS, MI 48864

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 Jessica Bonneville's NPI number?

The NPI number for Jessica Bonneville is 1578071841. It was assigned to this individual provider in the NPPES registry on January 19, 2018. The provider is also known as Jessica Rose Mariano Ma, Lpc.

Where is Jessica Bonneville located?

Jessica Bonneville practices at 3899 Okemos Rd Ste A1, Okemos, MI 48864. The listed phone number is (517) 507-5892.

What is Jessica Bonneville's specialty?

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

Is Jessica Bonneville enrolled in Medicare?

Yes. Jessica Bonneville is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Bonneville accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Jessica Bonneville 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 Jessica Bonneville was last updated on March 26, 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.