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

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

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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; Medicare.gov, “Does 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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Celina and Ohio

11 active clinicians are listed under Counselor - Professional with a practice address in Celina, OH (6,790 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Celina

0% of these 11 clinicians have the CMS telehealth indicator.

45.5% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

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

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-07-28

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH C.1902124

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: State Medical Board of Ohio.

Look Up on State Board Site

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location July 28, 2020

Registered at 401 E MARKET ST, CELINA, OH 458221736 (Tel: 4195845123)

📍

Updated Business Mailing Address July 28, 2020

Registered at 215 S DANA AVE, LIMA, OH 458043007 (Tel: 4195848560)

📍

Updated Practice Location October 04, 2019

Registered at 658 W MARKET ST STE 101, LIMA, OH 45801 (Tel: 4192221527)

📍

Updated Business Mailing Address October 04, 2019

Registered at 10100 ELIDA RD, DELPHOS, OH 458339056 (Tel: 4196958010)

👤

Provider Name / Credentials Updated October 04, 2019

Recorded as JESSICA ARCHIBALD, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2019

Counselor (license number reported to NPPES: OH C.1902124)

✅

NPI Profile Active June 26, 2018

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) June 26, 2018

Registered at 799 S MAIN ST, LIMA, OH 458041519 (Tel: 4192292222)

📍

Business Mailing Address (Initial Record) June 26, 2018

Registered at 5982 RHODES RD, KENT, OH 442408100 (Tel: 3306731347)

👤

Provider Name / Credentials (Initial Record) June 26, 2018

Recorded as JESSICA ARCHIBALD, CT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2018

Counselor (license number reported to NPPES: OH C1801082)

🟢

Initial NPI Registration & Enumeration June 26, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1609361237

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 26, 2018

Last Update: July 28, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

215 S Dana Ave

Lima, OH 458043007

Phone: 4195848560

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.