MS. JESSICA LOUISE BLODGETT LLPC
NPI 1780158170
Counselor - Mental Health in Waterford, MI

Active since January 18, 2019
4576 W WALTON BLVD, WATERFORD, MI 48329(248) 742-1963 Get Directions Write a Review

NPPES record last updated: January 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jessica Louise Blodgett Llpc NPPES

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

MS. JESSICA LOUISE BLODGETT LLPC (NPI 1780158170) is an individual mental health provider in Waterford, Michigan, licensed in Michigan (6401017014) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1780158170
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JESSICA LOUISE BLODGETTCredential: LLPC
Location Address4576 W WALTON BLVDWaterford, MI 48329-4905
Mailing Address13730 S 28th StVicksburg, MI 49097-9304
Sole ProprietorYes
Enumeration DateJanuary 18, 2019
NPI 1780158170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MI · 6401017014
4576 W WALTON BLVD, Waterford, MI 48329

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Psychiatric/Mental Health)
4576 W WALTON BLVD
WATERFORD, MI 48329
Counselor (Mental Health)
4576 W WALTON BLVD
WATERFORD, MI 48329
Psychiatry & Neurology (Psychiatry)
4576 W WALTON BLVD
WATERFORD, MI 48329
Nurse Practitioner (Adult Health)
4576 W WALTON BLVD
WATERFORD, MI 48329
Psychiatry & Neurology (Psychiatry)
4576 W WALTON BLVD
WATERFORD, MI 48329
Counselor (Mental Health)
4576 W WALTON BLVD
WATERFORD, MI 48329

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 Jessica Blodgett's NPI number?

The NPI number for Jessica Blodgett is 1780158170. It was assigned to this individual provider in the NPPES registry on January 18, 2019.

Where is Jessica Blodgett located?

Jessica Blodgett practices at 4576 W Walton Blvd, Waterford, MI 48329. The listed phone number is (248) 742-1963.

What is Jessica Blodgett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jessica Blodgett was last updated on January 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.