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Jacques Pelser , LPCC-S, LIDCD

Counselor - Professional β€’ Massillon, OH

Active NPI 1306206487 Individual Practitioner Male Practitioner
Practice location in NPPES

1680 Nave Rd Se
Massillon, OH 446469604

Call 3308308740 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

1680 Nave Rd Se

Massillon, OH 446469604

Telephone 3308308740
Fax 3308300912
Organization at the Same NPPES Address or Phone
Quest Recovery And Prevention Services Facility NPI 1578512752

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

NPI first issued

2016

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.

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, 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.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Jacques Pelser as eligible to order or refer 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: 2022-07-07
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH E.1901301-SUPV
Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OH LICDC.161995
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
0266616 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not 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.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Rebecca Ajah , MSW, LISW

Social Worker - Clinical

NPI 1053881847

Master of Social Work, Licensed Independent Social Worker

Megan Hawk

Nurse Practitioner - Psychiatric/Mental Health

NPI 1578983870
NPI 1225076631

MSNCPMHNP

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) July 07, 2022

Counselor (license number reported to NPPES: OH LICDC.161995)

πŸ“
Updated Practice Location June 02, 2022

Registered at 1680 NAVE RD SE, MASSILLON, OH 446469604 (Tel: 3308308740)

πŸ‘€
Provider Name / Credentials Updated June 02, 2022

Recorded as JACQUES PELSER, LPCC-S, LIDCD

πŸ“
Updated Practice Location July 15, 2019

Registered at 601 CLEVELAND AVE NW, CANTON, OH 44702 (Tel: 3304550374)

πŸ‘€
Provider Name / Credentials Updated July 15, 2019

Recorded as JACQUES PELSER, LPCC, LCDCIII

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2019

Counselor (license number reported to NPPES: OH LCDCIII161908)

βœ…
NPI Profile Active July 28, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 28, 2016

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304538252)

πŸ“
Business Mailing Address (Initial Record) July 28, 2016

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304538252)

πŸ‘€
Provider Name / Credentials (Initial Record) July 28, 2016

Recorded as JACQUES PELSER, CDCA, CT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2016

Counselor (license number reported to NPPES: OH C.1600178-TRNE)

🟒
Initial NPI Registration & Enumeration March 02, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1306206487
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2016
Last Update: July 07, 2022
Sole Proprietor: No

Mailing Address

625 Cleveland Ave Nw

Canton, OH 447021805

Phone: 3304550374

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.