JESSICA LEMONCELLI MA, NCC
NPI 1083297956
Counselor - Mental Health in Blakely, PA

Active since April 29, 2021Opted out of Medicare · through Jul 28, 2027
1714 MAIN ST, BLAKELY, PA 18447(570) 878-4603 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Lemoncelli Ma, Ncc NPPES

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

JESSICA LEMONCELLI MA, NCC (NPI 1083297956) is an individual mental health provider in Blakely, Pennsylvania and active in the NPI registry since April 2021. She has opted out of Medicare through July 28, 2027.

NPPES Registry Identity

NPI1083297956
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA LEMONCELLICredential: MA, NCC
Location Address1714 MAIN STBlakely, PA 18447-1362
Mailing Address945 Main StPeckville, PA 18452-2147 · (570) 878-4603
Sole ProprietorYes
Enumeration DateApril 29, 2021
NPPES CertifiedApril 29, 2021
NPI 1083297956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1714 MAIN ST, Blakely, PA 18447

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jessica Lemoncelli Ma, Ncc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 28, 2025 through July 28, 2027.

Opt-Out Effective DateJuly 28, 2025
Opt-Out In Effect ThroughJuly 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

Counselor (Mental Health)
1714 MAIN ST
BLAKELY, PA 18447
Counselor (Professional)
1714 MAIN ST
BLAKELY, PA 18447
Counselor (Mental Health)
1714 MAIN ST
BLAKELY, PA 18447
Counselor (Professional)
1714 MAIN ST
BLAKELY, PA 18447
Counselor (Professional)
1714 MAIN ST
BLAKELY, PA 18447
Counselor (Professional)
1714 MAIN ST
BLAKELY, PA 18447
Counselor (Professional)
1714 MAIN ST
BLAKELY, PA 18447
Counselor (Professional)
1714 MAIN ST
BLAKELY, PA 18447

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Lemoncelli's NPI number?

The NPI number for Jessica Lemoncelli is 1083297956. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Where is Jessica Lemoncelli located?

Jessica Lemoncelli practices at 1714 Main St, Blakely, PA 18447. The listed phone number is (570) 878-4603.

What is Jessica Lemoncelli's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jessica Lemoncelli enrolled in Medicare?

No. Jessica Lemoncelli has opted out of Medicare through July 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jessica Lemoncelli was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.