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JACLYN PLUMMER LPC
NPI 1154968162
Counselor - Professional in Wexford, PA

Active since December 09, 2019PECOS EnrolledAccepts Medicare Assignment
117 VIP DR STE 310, WEXFORD, PA 15090(724) 934-3905 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 22, 2020, Dec 31, 2019, Dec 17, 2019 and 1 more (4 updates tracked since 2019).

About Jaclyn Plummer Lpc NPPES

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

JACLYN PLUMMER LPC (NPI 1154968162) is an individual professional provider in Wexford, Pennsylvania, licensed in Pennsylvania (PC009763) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1154968162
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACLYN PLUMMERCredential: LPC
Location Address117 VIP DR STE 310Wexford, PA 15090-6936
Mailing Address117 Vip Dr Ste 310Wexford, PA 15090-6936
Phone(724) 934-3905
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 9, 2019
Last NPPES UpdateJanuary 22, 20204 updates tracked since enumeration
✔ NPI 1154968162 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 PA · PC009763
117 VIP DR STE 310, Wexford, PA 15090
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaclyn Plummer Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072963982
PECOS Enrollment IDI20231219000446
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 Jaclyn Plummer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New Directions Mental Health, PC
23 mi
Mental Health (Including Community Mental Health Center)
110 HIDDEN VALLEY RD
Mc Murray, PA 15317
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 223 clinicians in this Medicare group
NPI 1215904800 (724) 941-4070

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.

DR. FRANCIS RICHARD KUSH PH.D.
Psychologist (Clinical)
117 VIP DR STE 310
WEXFORD, PA 15090
Allegheny County (724) 934-3905
DR. SOFIA ALVAREZ PSY.D.
Psychologist
117 VIP DR STE 310
WEXFORD, PA 15090
Allegheny County (724) 934-3905
SOPHIE LOUISE GREGER LCSW
Social Worker (Clinical)
117 VIP DR STE 310
WEXFORD, PA 15090
Allegheny County (724) 419-4138
DR. KELLY RAE ALBERT PSYD
Counselor (Mental Health)
117 VIP DR STE 310
WEXFORD, PA 15090
Allegheny County (724) 934-3905
JESSICA MARSHALL REGAN RDN, LDN, FMN, CLT
Dietitian, Registered
117 VIP DR STE 310
WEXFORD, PA 15090
Allegheny County (724) 934-3905
SHEA TYLER
Counselor (Mental Health)
117 VIP DR STE 310
WEXFORD, PA 15090
Allegheny County (878) 231-6825
DR. NICOLE GAUSE PHD
Psychologist
117 VIP DR STE 310
WEXFORD, PA 15090
Allegheny County (724) 934-3905
DR. MICHAEL GREISLER PSY.D., LCSW
Psychologist (Clinical)
117 VIP DR STE 310
WEXFORD, PA 15090
Allegheny County (724) 934-3905

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 Jaclyn Plummer's NPI number?

The NPI number for Jaclyn Plummer is 1154968162. It was assigned to this individual provider in the NPPES registry on December 9, 2019.

Where is Jaclyn Plummer located?

Jaclyn Plummer practices at 117 Vip Dr Ste 310, Wexford, PA 15090. The listed phone number is (724) 934-3905.

What is Jaclyn Plummer's specialty?

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

Is Jaclyn Plummer enrolled in Medicare?

Yes. Jaclyn Plummer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jaclyn Plummer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Plummer reassigns Medicare benefits to New Directions Mental Health, PC (Mc Murray, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaclyn Plummer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jaclyn Plummer was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.