JESSICA PREVOST – Professional Counselor, NPI 1366900813

JESSICA PREVOST is a healthcare provider. based in Clarkston, Michigan. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for JESSICA PREVOST is 1366900813

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA PREVOST
NPI
1366900813
Phone
(248) 620-6400
Address
6549 TOWN CENTER DR STE A
Enumeration Date
4 March 2019
Last Update Date
4 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8106265191
Graduation Year
2019 (7 years ago)
PAC ID
1759816713
Group Practice PAC ID
5799035390
Professional Enrollment ID
I20241127001788
Address ID
MI483484246CL8949XHWYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:7State licenses:0Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

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Provider Addresses for JESSICA PREVOST

  • 6549 TOWN CENTER DR STE A

    CLARKSTON, MI 483464824

    Phone: (248) 620-6400

    Type: Mailing

  • 8285 S SAGINAW ST STE 102

    GRAND BLANC, MI 484392436

    Phone: (482) 633-6538

    Type: Mailing

  • 2401, North Linden Road, Flint Township, Genesee County, Michigan, 48504, United States

    FLINT, MI 485329800

    Phone: (810) 957-4310

    Type: Location

  • 8285 S Saginaw St Ste 102

    Grand Blanc, MI 484392436

    Phone: (810) 626-5191

    Type: Location

  • 6672 NEWARK RD

    IMLAY CITY, MI 484449657

    Phone: (248) 633-6538

    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: 2024-11-27

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

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
I20241127001788IMental 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 48346)

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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: 5799035390View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Nurse PractitionerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Is JESSICA PREVOST listed with a National Provider Identifier?
Yes — JESSICA PREVOST has NPI 1366900813 on file in the registry.
Active or inactive — what applies to JESSICA PREVOST?
You should see JESSICA PREVOST as active in CMS-hosted NPPES data.
What expertise is attributed to JESSICA PREVOST?
JESSICA PREVOST's specialty line reads Professional Counselor. Clinical services aligned with this taxonomy classification.
Where in Michigan is JESSICA PREVOST registered?
Use Clarkston, Michigan as the headline location for JESSICA PREVOST here.
Does JESSICA PREVOST accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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