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: October 25, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Mental Health
3970 HERITAGE AVE
Okemos, MI 48864
  • Reassigned Medicare billing, Michigan enrollment
  • 22 clinicians in this Medicare group

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 11

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.

Which organization bills Medicare for Jessica Bonneville's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Bonneville reassigns Medicare benefits to Spring Forest Counseling LLP (Okemos, 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 Jessica Bonneville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Bonneville accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare 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.