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Barbara J Pack , LPCC-S, LICDC-CS

Counselor - Professional β€’ Massillon, OH

Active NPI 1679792535 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

3484 Amherst Ave Nw
Massillon, OH 446461732

Call 3305758895 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

3484 Amherst Ave Nw

Massillon, OH 446461732

Telephone 3305758895
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Cincinnati, OH; Jacksonville, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Mccd Fl Psychiatry Services Pa. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2000

Years since graduation

26 years (graduated 2000)

CMS Doctors and Clinicians data list 2000 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.

NPI first issued

2007

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; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

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

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Barbara Pack 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 Barbara Pack 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 Massillon and Ohio

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Massillon

8.1% of these 37 clinicians have the CMS telehealth indicator.

18.9% of these 37 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 Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-11-08
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH E.0004203-SUPV
Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES FL TPMC5148
Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OH ICDC.011148 CS
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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
096549 (OH)

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

I20241031000409

Enrollment State Jurisdiction

OH

PECOS Control ID

8820521735

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

Mccd Fl Psychiatry Services Pa

9435 Waterstone Blvd, Cincinnati, OH 452498229

Phone: 8333518255

Secondary Practice Locations

1301 Riverplace Blvd Ste 800

Jacksonville, FL 322079032

Phone: 8333518255

9435 Waterstone Blvd Ste 140

Cincinnati, OH 452498229

Phone: 8333518255

Career & Practice History Timeline

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

12 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2024

Counselor (license number reported to NPPES: FL TPMC5148)

πŸ“
Updated Practice Location July 09, 2024

Registered at 3484 AMHERST AVE NW, MASSILLON, OH 446461732 (Tel: 3305758895)

πŸ“
Updated Business Mailing Address July 09, 2024

Registered at 3484 AMHERST AVE NW, MASSILLON, OH 446461732 (Tel: 3305758895)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2024

Counselor (license number reported to NPPES: OH E.0004203-SUPV)

πŸ“
Updated Practice Location July 29, 2020

Registered at 104 SPINK ST, WOOSTER, OH 446913652 (Tel: 3302648498)

πŸ“
Updated Business Mailing Address July 29, 2020

Registered at 104 SPINK ST, WOOSTER, OH 446913652 (Tel: 3302648498)

βœ…
NPI Profile Active December 07, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 07, 2016

Registered at 832 MCKINLEY AVE NW, CANTON, OH 447032463 (Tel: 3304301235)

πŸ“
Business Mailing Address (Initial Record) December 07, 2016

Registered at 832 MCKINLEY AVE NW, CANTON, OH 447032463 (Tel: 3304301235)

πŸ‘€
Provider Name / Credentials (Initial Record) December 07, 2016

Recorded as BARBARA PACK, LPCC-S, LICDC-CS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2016

Counselor (license number reported to NPPES: OH ICDC.011148 CS)

🟒
Initial NPI Registration & Enumeration April 25, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679792535
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2007
Last Update: November 08, 2024
Sole Proprietor: No

Mailing Address

3484 Amherst Ave Nw

Massillon, OH 446461732

Phone: 3305758895

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.