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JENELLE MAZARIS
NPI 1700247962
Marriage & Family Therapist in Plymouth, MI

Active since March 16, 2016PECOS EnrolledAccepts Medicare Assignment
705 S MAIN ST, SUITE 280, PLYMOUTH, MI 48170(734) 454-3560(734) 454-3570 Get Directions Write a Review

NPPES record last updated: March 16, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jenelle Mazaris NPPES

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

JENELLE MAZARIS (NPI 1700247962) is an individual marriage & family therapist in Plymouth, Michigan, licensed in Michigan (4101006577) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1700247962
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJENELLE MAZARIS
Location Address705 S MAIN ST, SUITE 280Plymouth, MI 48170-2089
Mailing Address3694 Clarkston Rd, Suite DClarkston, MI 48348-5213 · (248) 410-0650 · Fax (248) 391-7478
Phone(734) 454-3560
Fax(734) 454-3570
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 16, 2016
✔ NPI 1700247962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MI · 4101006577
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
705 S MAIN ST, Plymouth, MI 48170
Open in Google Maps ↗

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

Jenelle Mazaris 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 ID648789115
PECOS Enrollment IDI20250605000146
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 Jenelle Mazaris reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Holistic Drama LLC
0.7 mi
Marriage & Family Therapist
340 N MAIN ST STE 201
Plymouth, MI 48170
  • Reassigned Medicare billing, Michigan enrollment
NPI 1700380664 (734) 748-3140

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.

MR. GERALD AUGUST HUG JR. MA CCC A
Audiologist
705 S MAIN ST, SUITE 205
PLYMOUTH, MI 48170
Wayne County (734) 451-0800
ANNIE JACOB
Physical Therapist
705 S MAIN ST, STE. 220
PLYMOUTH, MI 48170
Wayne County (734) 354-8000
SITARAM KIRAN GHATTAMANENI
Physical Therapy Assistant
705 S MAIN ST, STE. 220
PLYMOUTH, MI 48170
Wayne County (734) 354-8000
THERAPY STAFF
Skilled Nursing Facility
705 S MAIN ST
PLYMOUTH, MI 48170
Wayne County (866) 874-0036
KATHY BINIARIS-HUSS
Physical Therapist
705 S MAIN ST, SUITE 220
PLYMOUTH, MI 48170
Wayne County (734) 354-8000
DIANE ODELL
Speech-Language Pathologist
705 S MAIN ST, SUITE 220
PLYMOUTH, MI 48170
Wayne County (773) 549-5294
DENISE LYNN FULLER LPC
Counselor (Professional)
705 S MAIN ST
PLYMOUTH, MI 48170
Wayne County (734) 985-0638
STEVEN VACULIK
Physical Therapist
705 S MAIN ST, STE 220
PLYMOUTH, MI 48170
Wayne County (877) 248-9321

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 Jenelle Mazaris's NPI number?

The NPI number for Jenelle Mazaris is 1700247962. It was assigned to this individual provider in the NPPES registry on March 16, 2016.

Where is Jenelle Mazaris located?

Jenelle Mazaris practices at 705 S Main St Suite 280, Plymouth, MI 48170. The listed phone number is (734) 454-3560.

What is Jenelle Mazaris's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jenelle Mazaris enrolled in Medicare?

Yes. Jenelle Mazaris 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 Jenelle Mazaris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenelle Mazaris reassigns Medicare benefits to Holistic Drama LLC (Plymouth, 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 Jenelle Mazaris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jenelle Mazaris accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and UnitedHealthcare list Jenelle Mazaris 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 Jenelle Mazaris was last updated on March 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.