JACKSON HEALING CLINIC LLC
NPI 1629677893
Counselor - Mental Health in Jackson, MI
About Jackson Healing Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON HEALING CLINIC LLC (NPI 1629677893) is a healthcare organization registered as a mental health in Jackson, Michigan and active in the NPI registry since October 2020. The organization lists Heather Stiltner, Owner, Chief Clinical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jackson Healing Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Jackson Healing Clinic LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Kalamazoo, MI 49007
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jackson Healing Clinic LLC's NPI number?
The NPI number for Jackson Healing Clinic LLC is 1629677893. It was assigned to this organization in the NPPES registry on October 20, 2020.
Where is Jackson Healing Clinic LLC located?
Jackson Healing Clinic LLC is located at 720 W Franklin St, Jackson, MI 49201. The listed phone number is (517) 581-4710.
What is Jackson Healing Clinic LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jackson Healing Clinic LLC enrolled in Medicare?
Yes. Jackson Healing Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jackson Healing Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Jackson Healing Clinic LLC. A 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 the clinician's services. The largest specialties are Mental Health Counselor (5), Clinical Social Worker (3) and Professional Counselor (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jackson Healing Clinic LLC 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 list Jackson Healing Clinic LLC 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 Jackson Healing Clinic LLC was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Jackson Healing Clinic Llc · NPI 1629677893
Mental Health organization in Jackson, Michigan. Organization record, active in the CMS NPPES registry since October 20, 2020.
## Identity
- **NPI:** 1629677893 (Entity type: Organization)
- **Enumerated:** October 20, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Heather Stiltner, OWNER, CHIEF CLINICAL DIRECTOR
## Practice location
- **Address:** 720 W FRANKLIN ST, Jackson, MI 49201-1674
- **Phone:** (517) 581-4710 · **Fax:** (517) 905-5906
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (5), Clinical Social Worker (3), Professional Counselor (1); 5 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629677893) · Data from the CMS NPPES public registry.