JACEY VERDICCHIO
NPI 1205728714
Counselor in Charleston, SC

Q: What is Jacey Verdicchio's NPI number?

The NPI number for Jacey Verdicchio is 1205728714. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Q: What is Jacey Verdicchio's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacey Verdicchio was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 July 18, 2025PECOS Enrolled

171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacey Verdicchio NPPES

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

JACEY VERDICCHIO (NPI 1205728714) is an individual counselor in Charleston, South Carolina, licensed in South Carolina (8589) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1205728714

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameJACEY VERDICCHIO

Location Address171 ASHLEY AVECharleston, SC 29425-0100

Mailing Address67 President StCharleston, SC 29425-5712

Phone(843) 792-1414

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 18, 2025

NPPES CertifiedJuly 18, 2025

✔ NPI 1205728714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in SC · 8589

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

171 ASHLEY AVE, Charleston, SC 29425

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacey Verdicchio is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466931738

PECOS Enrollment IDI20260206002119

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.

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.

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