Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jaclyn Czerniak , LPC

Counselor - Professional β€’ Suffield, CT

Active NPI 1487078762 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

880 Burbank Ave
Suffield, CT 060781459

Call 8605396736 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

880 Burbank Ave

Suffield, CT 060781459

Telephone 8605396736
Organization at the Same NPPES Address or Phone
Kristina Hallett, Phd, Abpp. Inc. Facility NPI 1720511389

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Wheeler Clinic Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2013

Years since graduation

13 years (graduated 2013)

CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jaclyn Czerniak has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jaclyn Czerniak as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Suffield and Connecticut

12 active clinicians are listed under Counselor - Professional with a practice address in Suffield, CT (2,857 in Connecticut).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Suffield

0% of these 12 clinicians have the CMS telehealth indicator.

8.3% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-03-24
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Connecticut Department of Public Health Verification.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20231228003623

Enrollment State Jurisdiction

CT

PECOS Control ID

4183074487

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Wheeler Clinic Inc

43 Woodland St, Hartford, CT 061052363

Phone: 8607933500

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location March 24, 2022

Registered at 880 BURBANK AVE, SUFFIELD, CT 060781459 (Tel: 8605396736)

πŸ“
Updated Business Mailing Address March 24, 2022

Registered at PO BOX 605, SUFFIELD, CT 060780605

πŸ‘€
Provider Name / Credentials Updated March 24, 2022

Recorded as JACLYN CZERNIAK, LPC

βœ…
NPI Profile Active February 07, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 07, 2014

Registered at 77 MILL ST, WESTFIELD, MA 010854598 (Tel: 4135681421)

πŸ“
Business Mailing Address (Initial Record) February 07, 2014

Registered at 77 MILL ST, WESTFIELD, MA 010854598

πŸ‘€
Provider Name / Credentials (Initial Record) February 07, 2014

Recorded as JACLYN CZERNIAK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2014

Social Worker

🟒
Initial NPI Registration & Enumeration February 07, 2014

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1487078762
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2014
Last Update: March 24, 2022
Sole Proprietor: No

Mailing Address

Po Box 605

Suffield, CT 060780605

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.