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JAKE PRADKO LPC
NPI 1619746377
Counselor in Utica, MI

Active since December 21, 2023PECOS EnrolledAccepts Medicare Assignment
11111 HALL RD STE 300, UTICA, MI 48317(586) 997-3153 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jake Pradko Lpc NPPES

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

JAKE PRADKO LPC (NPI 1619746377) is an individual counselor in Utica, Michigan, licensed in Michigan (6401225774) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1619746377
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJAKE PRADKOCredential: LPC
Location Address11111 HALL RD STE 300Utica, MI 48317-5726
Mailing Address209 N Alice AveRochester, MI 48307-1807
Phone(586) 997-3153
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 21, 2023
Last NPPES UpdateNovember 20, 2025
NPPES CertifiedNovember 20, 2025
✔ NPI 1619746377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MI · 6401225774
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.
11111 HALL RD STE 300, Utica, MI 48317
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jake Pradko Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840782918
PECOS Enrollment IDI20251125003634
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

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

AARON DANIEL BAHLMAN-CLIPPARD LLPC
Counselor (Mental Health)
11111 HALL RD STE 300
UTICA, MI 48317
Macomb County (586) 887-3153

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 Jake Pradko's NPI number?

The NPI number for Jake Pradko is 1619746377. It was assigned to this individual provider in the NPPES registry on December 21, 2023.

Where is Jake Pradko located?

Jake Pradko practices at 11111 Hall Rd Ste 300, Utica, MI 48317. The listed phone number is (586) 997-3153.

What is Jake Pradko's specialty?

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

Is Jake Pradko enrolled in Medicare?

Yes. Jake Pradko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jake Pradko was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.