Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACQUELINE KUPPER LMSW
NPI 1831223767
Social Worker - Clinical in Saint Clair Shores, MI

Active since March 15, 2007PECOS EnrolledAccepts Medicare Assignment
22708 HARPER AVE, SAINT CLAIR SHORES, MI 48080(586) 445-2210(586) 445-0070 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Dec 12, 2019, Dec 20, 2016 and 1 more (4 updates tracked since 2015).

About Jacqueline Kupper Lmsw NPPES

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

JACQUELINE KUPPER LMSW (NPI 1831223767) is an individual clinical provider in Saint Clair Shores, Michigan, licensed in Michigan (6801088435) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Clair Shores, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1831223767
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELINE KUPPERCredential: LMSW
Location Address22708 HARPER AVESaint Clair Shores, MI 48080-1823
Mailing Address24055 Jefferson Ave Ste 103Saint Clair Shores, MI 48080-1513 · (586) 445-2210
Fax(586) 445-0070
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 15, 2007
Last NPPES UpdateSeptember 29, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1831223767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801088435
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
22708 HARPER AVE, Saint Clair Shores, MI 48080

Other Names 1

Former Name (1)Jacqueline Riley-kupper Lmsw

Secondary Practice Location 1

Location 124055 Jefferson Ave Ste 103Saint Clair Shores, MI 48080-1513 · Phone (586) 445-2210

Accepted 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

Jacqueline Kupper Lmsw 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 ID9537398110
PECOS Enrollment IDI20160524000174
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 Jacqueline Kupper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Social Worker
37500 GARFIELD RD STE 175
Clinton Township, MI 48036
  • Reassigned Medicare billing, Michigan enrollment
  • 98 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

Counselor (Professional)
22708 HARPER AVE
SAINT CLAIR SHORES, MI 48080
Social Worker (Clinical)
22708 HARPER AVE
SAINT CLAIR SHORES, MI 48080
Psychologist (Clinical)
22708 HARPER AVE
SAINT CLAIR SHORES, MI 48080
Social Worker (Clinical)
22708 HARPER AVE
SAINT CLAIR SHORES, MI 48080
Social Worker (Clinical)
22708 HARPER AVE
SAINT CLAIR SHORES, MI 48080
Social Worker
22708 HARPER AVE
SAINT CLAIR SHORES, MI 48080
Counselor (Professional)
22708 HARPER AVE
SAINT CLAIR SHORES, MI 48080
Counselor (Professional)
22708 HARPER AVE
SAINT CLAIR SHORES, MI 48080

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 Jacqueline Kupper's NPI number?

The NPI number for Jacqueline Kupper is 1831223767. It was assigned to this individual provider in the NPPES registry on March 15, 2007. The provider is also known as Jacqueline Riley-Kupper Lmsw.

Where is Jacqueline Kupper located?

Jacqueline Kupper practices at 22708 Harper Ave, Saint Clair Shores, MI 48080. The listed phone number is (586) 445-2210.

What is Jacqueline Kupper's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jacqueline Kupper enrolled in Medicare?

Yes. Jacqueline Kupper 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 Jacqueline Kupper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Kupper reassigns Medicare benefits to Henry Ford Health Eastwood Behavioral Health (Clinton Township, 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 Jacqueline Kupper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Kupper 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 and 1 other insurer list Jacqueline Kupper 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 Jacqueline Kupper was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.