Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeanice Marie Knight-Bogatz, LPC

Individual provider Mental Health Counselor · NPI 1912210311

Jeanice Marie Knight-Bogatz, LPC is a Mental Health Counselor in Traverse City, Michigan. Qualified in 2010, 16 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
16
Licensed in
MI
In the registry since
2010
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3155 Logan Valley Rd
Traverse City, MI 49684-4772
Phone: (402) 677-9083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401017335 (MI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 6401017335 (MI)

Record details

NPI number1912210311
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJuly 15, 2010
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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