JANE ELIZABETH LEIPOLD DIKA – Mental Health Counselor, NPI 1093049561

JANE ELIZABETH LEIPOLD DIKA is a healthcare provider. based in Waterford, Michigan. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for JANE ELIZABETH LEIPOLD DIKA is 1093049561

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
JANE ELIZABETH LEIPOLD DIKA
NPI
1093049561
Phone
Not provided
Address
6917 DESMOND RD
Enumeration Date
30 September 2009
Last Update Date
30 September 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8103099355
Graduation Year
2009 (17 years ago)
PAC ID
7618419490
Group Practice PAC ID
0547426264
Professional Enrollment ID
I20240607002065
Address ID
MI484303800FE127XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:16State licenses:0Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

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Provider Addresses for JANE ELIZABETH LEIPOLD DIKA

  • 6917 DESMOND RD

    WATERFORD, MI 483292815

    Phone:

    Type: Mailing

  • 1255, North Oakland Boulevard, Waterford Township, Oakland County, Michigan, 48327, United States

    WATERFORD, MI 483271582

    Phone: (248) 406-0090

    Type: Location

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: 2024-06-07

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
I20240607002065IMental 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 48329)

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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: 0547426264View full group profile
NameSpecialtyState
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
Mental Health CounselorMI
-MI
Clinical Social WorkerMI
Clinical PsychologistMI
Mental Health CounselorMI
Nurse PractitionerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

How do I look up JANE ELIZABETH LEIPOLD DIKA by NPI?
Use NPI 1093049561 when you need to reference JANE ELIZABETH LEIPOLD DIKA in forms, claims, or directories.
Does this profile mean JANE ELIZABETH LEIPOLD DIKA is currently active?
Yes — JANE ELIZABETH LEIPOLD DIKA appears active in the national provider directory.
What field does JANE ELIZABETH LEIPOLD DIKA work in?
You can think of JANE ELIZABETH LEIPOLD DIKA as practicing within Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Does JANE ELIZABETH LEIPOLD DIKA practice in Michigan?
You will see Waterford, Michigan on file for JANE ELIZABETH LEIPOLD DIKA alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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