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JACKOLYN MARIE VAN HORN M.ED, LPCC
NPI 1245852276
Counselor - Mental Health in Carrollton, OH

Active since May 13, 2020PECOS EnrolledAccepts Medicare Assignment
611 HIGH ST NW, CARROLLTON, OH 44615(330) 627-3954(330) 627-3984 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 20, 2025, May 13, 2020 (2 updates tracked since 2020).

About Jackolyn Marie Van Horn M.ed, Lpcc NPPES

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

JACKOLYN MARIE VAN HORN M.ED, LPCC (NPI 1245852276) is an individual mental health provider in Carrollton, Ohio, licensed in Ohio (E.2404325-SUPV) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1245852276
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACKOLYN MARIE VAN HORNCredential: M.ED, LPCC
Location Address611 HIGH ST NWCarrollton, OH 44615-1117
Mailing Address611 High St NwCarrollton, OH 44615-1117 · (330) 627-3954 · Fax (330) 627-3984
Phone(330) 627-3954
Fax(330) 627-3984
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 13, 2020
Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1245852276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · E.2404325-SUPV
611 HIGH ST NW, Carrollton, OH 44615
Open in Google Maps ↗

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 and accepts Medicare assignment

Jackolyn Marie Van Horn M.ed, Lpcc 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 ID7315486883
PECOS Enrollment IDI20240828002187
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 Jackolyn Van Horn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeast, Inc
110 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 2

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

SOUTHEAST INC
Clinic/Center (Federally Qualified Health Center (FQHC))
611 HIGH ST NW
CARROLLTON, OH 44615
Carroll County (330) 627-3954
WENDY DAWN GOTSCHALL DNP, CNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
611 HIGH ST NW
CARROLLTON, OH 44615
Carroll County (330) 627-3954

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 Jackolyn Van Horn's NPI number?

The NPI number for Jackolyn Van Horn is 1245852276. It was assigned to this individual provider in the NPPES registry on May 13, 2020.

Where is Jackolyn Van Horn located?

Jackolyn Van Horn practices at 611 High St NW, Carrollton, OH 44615. The listed phone number is (330) 627-3954.

What is Jackolyn Van Horn's specialty?

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

Is Jackolyn Van Horn enrolled in Medicare?

Yes. Jackolyn Van Horn 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 Jackolyn Van Horn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackolyn Van Horn reassigns Medicare benefits to Southeast, Inc (Columbus, OH). 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 Jackolyn Van Horn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackolyn Van Horn accept?

Health plans from CareSource and Molina Healthcare list Jackolyn Van Horn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackolyn Van Horn was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.