JEANNINE KAREN PECK (LMSW) – Mental Health Counselor, NPI 1245741230

Mental Health Counselor

JEANNINE KAREN PECK (LMSW) is a healthcare provider. based in Detroit, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801091571 (MI). The NPI Number for JEANNINE KAREN PECK (LMSW) is 1245741230

Main info

Female

17 Years Of Experience

Accepts Medicare Assignment

Name

JEANNINE KAREN PECK (LMSW)

NPI

1245741230

Phone

(313) 396-5300

Address

2925 RUSSELL ST

Enumeration Date

17 October 2017

Last Update Date

17 October 2017

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3133965300

Graduation Year

2009 (17 years ago)

PAC ID

2466714753

Group Practice PAC ID

2264451830

Professional Enrollment ID

I20180327000155

Address ID

MI482074825DE2925XSTXX300

Telehealth

Yes

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience30

Completeness75

Years active:8State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

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Provider Addresses for JEANNINE KAREN PECK (LMSW)

2925, Russell Street, Forest Park, Midtown, Detroit, Wayne County, Michigan, 48207, United States
DETROIT, MI 482074825
Phone: (313) 396-5300
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: 2018-03-27

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20180327000155	I	Clinical Social Worker	MI	TBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
90832	Psychotherapy, 30 minutes	112	15	$0

View full utilization report →

Insurance plans in this area (ZIP 48207)

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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: 2264451830View full group profile

Name	Specialty	State
ZAHRAA SAAB	Clinical Social Worker	MI
MRS. TANYA DELENE MCCAULEY (NP)	Nurse Practitioner	MI
MS. EVELYN E MARTIN (BS, SST)	Clinical Social Worker	MI
BUSHRA ALSAFARI	Clinical Social Worker	MI
MS. SARA ANN CALLISON (LMSW, CAADC)	Clinical Social Worker	MI
NALO MORANT (LMSW)	Clinical Social Worker	MI
MS. DARLENE JONES (LLMSW)	-	MI
MS. CHERYL ANN SLAIGHT (LMSW)	-	MI
XAVIER WHITE (M.D.)	P S Y C H I A T R Y	MI
BRENDA SANDERS	Clinical Social Worker	MI

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Frequently asked questions

What identifier follows JEANNINE KAREN PECK (LMSW) across health systems?

The NPI 1245741230 uniquely identifies JEANNINE KAREN PECK (LMSW) in U.S. healthcare data.

Is JEANNINE KAREN PECK (LMSW)'s NPI status active today?

Active status means JEANNINE KAREN PECK (LMSW)'s NPI record is not deactivated in the public file.

What does the directory say JEANNINE KAREN PECK (LMSW) does?

Insurance directories may phrase it differently, but here JEANNINE KAREN PECK (LMSW) maps to Mental Health Counselor. Clinical services aligned with this taxonomy classification.

Is JEANNINE KAREN PECK (LMSW) tied to Detroit, Michigan?

If you are local to Detroit, Michigan, JEANNINE KAREN PECK (LMSW) may be relevant to your search.

Why is information missing for JEANNINE KAREN PECK (LMSW)?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.