MRS. MICHELE RAE ANNE JACKSON LMSW
NPI 1598193773
Social Worker - Clinical in Grand Rapids, MI

Q: What is Michele Jackson's NPI number?

The NPI number for Michele Jackson is 1598193773. It was assigned to this individual provider in the NPPES registry on October 24, 2013.

Q: What is Michele Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Michele Jackson was last updated on February 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 October 24, 2013PECOS Enrolled

1870 LEONARD ST NE, GRAND RAPIDS, MI 49505(616) 956-9619(616) 956-8033 Get Directions Write a Review

NPPES record last updated: February 27, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mrs. Michele Rae Anne Jackson Lmsw NPPES

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

MRS. MICHELE RAE ANNE JACKSON LMSW (NPI 1598193773) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801095548) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598193773

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. MICHELE RAE ANNE JACKSONCredential: LMSW

Location Address1870 LEONARD ST NEGrand Rapids, MI 49505-5650

Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000

Phone(616) 956-9619

Fax(616) 956-8033

Sole ProprietorNo

Enumeration DateOctober 24, 2013

Last NPPES UpdateFebruary 27, 2018

✔ NPI 1598193773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801095548

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License 99058975A (IN)

1870 LEONARD ST NE, Grand Rapids, MI 49505

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Other Identifiers 1

Medicaid1598193773MI

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, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Michele Rae Anne Jackson Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Michele Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mrj Counseling LLC

2.0 mi

Clinical

330 E BELTLINE AVE NE STE 300
Grand Rapids, MI 49506

Reassigned Medicare billing, Michigan enrollment

NPI 1306737796 (231) 920-3183

Lj Counseling Services LLC

9.0 mi

Clinical

7700 FOREST CT NE
Rockford, MI 49341

Reassigned Medicare billing, Michigan enrollment
8 clinicians in this Medicare group

NPI 1174134654 (616) 822-2263

Pine Rest Christian Mental Health Services

10 mi

Social Worker

300 68TH ST SE
Grand Rapids, MI 49548

Reassigned Medicare billing, Michigan enrollment
261 clinicians in this Medicare group

NPI 1922019157 (616) 455-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.34 – $166.68

Typical copayment $0.00 (range $13.58 – $41.67)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JASON R ROOD LMSW

Social Worker (Clinical)