JENNIFER S LABODA (MA LLPC NCC SCL) – Counselor, NPI 1043645120

JENNIFER S LABODA (MA LLPC NCC SCL) is a healthcare provider. based in Macomb, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA LLPC NCC SCL. They hold a License No. 6401012493 (MI). The NPI Number for JENNIFER S LABODA (MA LLPC NCC SCL) is 1043645120

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER S LABODA (MA LLPC NCC SCL)
NPI
1043645120
Phone
(586) 322-9972
Address
54583 JOSEPH RONALD DR
Enumeration Date
9 September 2013
Last Update Date
9 September 2013

Doctor Profile

Medical School Name
OAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Secondary Phone
5869322700
Graduation Year
2011 (15 years ago)
PAC ID
5991109530
Group Practice PAC ID
8729483078
Professional Enrollment ID
I20240118001832
Address ID
MI483174310SH8072XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:12State licenses:2Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

Provider Addresses for JENNIFER S LABODA (MA LLPC NCC SCL)

  • 54583 JOSEPH RONALD DR

    MACOMB, MI 480422329

    Phone: (586) 322-9972

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240118001832IMental Health CounselorMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48042)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729483078View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What federal number belongs to JENNIFER S LABODA (MA LLPC NCC SCL)?
The federal identifier for JENNIFER S LABODA (MA LLPC NCC SCL) is NPI 1043645120.
Is JENNIFER S LABODA (MA LLPC NCC SCL)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does JENNIFER S LABODA (MA LLPC NCC SCL) treat or focus on?
Patients typically see JENNIFER S LABODA (MA LLPC NCC SCL) under the specialty Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place JENNIFER S LABODA (MA LLPC NCC SCL)?
The snapshot lists Macomb, Michigan for JENNIFER S LABODA (MA LLPC NCC SCL); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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