JACOB MASSIE L.P.C.C.-S
NPI 1033572763
Counselor - Professional in Columbus, OH

Q: What is Jacob Massie's NPI number?

The NPI number for Jacob Massie is 1033572763. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Q: What is Jacob Massie's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Massie was last updated on June 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 31, 2016PECOS Enrolled

547 E 11TH AVE, COLUMBUS, OH 43211(614) 224-4506 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 29, 2016, Mar 31, 2016 (2 updates tracked since 2016).

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About Jacob Massie L.p.c.c.-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB MASSIE L.P.C.C.-S (NPI 1033572763) is an individual professional provider in Columbus, Ohio, licensed in Ohio (E.8167) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033572763

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameJACOB MASSIECredential: L.P.C.C.-S

Location Address547 E 11TH AVEColumbus, OH 43211-2603

Mailing Address547 E 11th AveColumbus, OH 43211-2603 · (614) 224-4506

Phone(614) 224-4506

Sole ProprietorYes

Enumeration DateMarch 31, 2016

Last NPPES UpdateJune 29, 20162 updates tracked since enumeration

✔ NPI 1033572763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OH · E.8167

547 E 11TH AVE, Columbus, OH 43211

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Massie L.p.c.c.-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Massie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeast, Inc

2.0 mi

Mental Health (Including Community Mental Health Center)

16 W LONG ST
Columbus, OH 43215

Reassigned Medicare billing, Ohio enrollment
81 clinicians in this Medicare group

NPI 1932169497 (614) 225-0980

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VON RICHARD GRAHAM LCDCII

Counselor (Addiction (Substance Use Disorder))