Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Rose Bonneville, MA, LPC

Individual provider Professional Counselor · NPI 1578071841

Jessica Rose Bonneville, MA, LPC is a Mental Health Counselor in Okemos, Michigan. Qualified in 2012, 14 years ago. Practices as a sole proprietor.

Years since qualifying
14
In the registry since
2018
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3899 Okemos Rd Ste A1
Okemos, MI 48864-3666
Phone: (517) 507-5892
Fax: (517) 258-2951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1578071841
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC
Sole proprietorYes
NPI enumeratedJanuary 19, 2018
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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