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JASON RYDZEWSKI
NPI 1689267262
Counselor in Southfield, MI

Active since February 16, 2021PECOS EnrolledAccepts Medicare Assignment
22170 W 9 MILE RD, SOUTHFIELD, MI 48033(248) 372-6800 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2024, May 8, 2024, Feb 16, 2021 (3 updates tracked since 2021).

About Jason Rydzewski NPPES

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

JASON RYDZEWSKI (NPI 1689267262) is an individual counselor in Southfield, Michigan, licensed in Michigan (6401223777) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1689267262
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJASON RYDZEWSKI
Location Address22170 W 9 MILE RDSouthfield, MI 48033-6007
Mailing Address22170 W 9 Mile RdSouthfield, MI 48033-6007
Phone(248) 372-6800
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 16, 2021
Last NPPES UpdateJune 4, 20243 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1689267262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MI · 6401223777
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
22170 W 9 MILE RD, Southfield, MI 48033
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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, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason Rydzewski 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 ID5496297095
PECOS Enrollment IDI20240611002610
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 Jason Rydzewski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Richard Kneip, Ph.D., P.C.
17 mi
Community/Behavioral Health
6548 TOWN CENTER DR STE D
Clarkston, MI 48346
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Richard Kneip Phd PC
  • 347 clinicians in this Medicare group
NPI 1679739700 (800) 693-1916

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 20

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

KAREN NICHOLS BSW
Case Manager/Care Coordinator
22170 W 9 MILE RD
SOUTHFIELD, MI 48033
Oakland County (248) 372-6874
MRS. GABRIELLA ANN GONZALES M.A., LLPC
Counselor (Professional)
22170 W 9 MILE RD
SOUTHFIELD, MI 48033
Oakland County (248) 372-6800
BRIA SMITH LMSW
Social Worker
22170 W 9 MILE RD
SOUTHFIELD, MI 48033
Oakland County (248) 372-6800
APRIL MCCULLUM
Case Manager/Care Coordinator
22170 W 9 MILE RD
SOUTHFIELD, MI 48033
Oakland County (248) 372-6800
CHRISTY STEVENS
Social Worker
22170 W 9 MILE RD
SOUTHFIELD, MI 48033
Oakland County (248) 372-6800
MIRANDA LAPAN
Case Manager/Care Coordinator
22170 W 9 MILE RD
SOUTHFIELD, MI 48033
Oakland County (248) 372-6800
LISA L FORRESTER RN
Registered Nurse
22170 W 9 MILE RD
SOUTHFIELD, MI 48033
Oakland County (248) 372-6800
LAURIE EVAN MCNAMARA BSW
Social Worker (Clinical)
22170 W 9 MILE RD
SOUTHFIELD, MI 48033
Oakland County (248) 372-6800

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 Jason Rydzewski's NPI number?

The NPI number for Jason Rydzewski is 1689267262. It was assigned to this individual provider in the NPPES registry on February 16, 2021.

Where is Jason Rydzewski located?

Jason Rydzewski practices at 22170 W 9 Mile Rd, Southfield, MI 48033. The listed phone number is (248) 372-6800.

What is Jason Rydzewski's specialty?

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

Is Jason Rydzewski enrolled in Medicare?

Yes. Jason Rydzewski 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.

Which organization bills Medicare for Jason Rydzewski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Rydzewski reassigns Medicare benefits to Richard Kneip, Ph.D., P.C. (Clarkston, 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 Jason Rydzewski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Rydzewski 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 Jason Rydzewski 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 Jason Rydzewski was last updated on June 4, 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.