JACQUES PELSER LPCC-S, LIDCD
NPI 1306206487
Counselor - Professional in Massillon, OH

Q: What is Jacques Pelser's NPI number?

The NPI number for Jacques Pelser is 1306206487. It was assigned to this individual provider in the NPPES registry on March 2, 2016.

Q: What is Jacques Pelser'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 Jacques Pelser was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 02, 2016PECOS Enrolled

1680 NAVE RD SE, MASSILLON, OH 44646(330) 830-8740(330) 830-0912 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2022, Jul 15, 2019, Mar 2, 2016 (3 updates tracked since 2016).

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About Jacques Pelser Lpcc-s, Lidcd NPPES

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

JACQUES PELSER LPCC-S, LIDCD (NPI 1306206487) is an individual professional provider in Massillon, Ohio, licensed in Ohio (E.1901301-SUPV) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306206487

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameJACQUES PELSERCredential: LPCC-S, LIDCD

Location Address1680 NAVE RD SEMassillon, OH 44646-9604

Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0374 · Fax (330) 453-6716

Phone(330) 830-8740

Fax(330) 830-0912

Sole ProprietorNo

Enumeration DateMarch 2, 2016

Last NPPES UpdateJuly 7, 20223 updates tracked since enumeration

NPPES CertifiedJuly 7, 2022

✔ NPI 1306206487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OH · E.1901301-SUPV

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LICDC.161995 (OH)

1680 NAVE RD SE, Massillon, OH 44646

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Other Identifiers 1

Medicaid0266616OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.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)

Jacques Pelser Lpcc-s, Lidcd 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.

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.

KELLY KATHLEEN MCCARTHY LCDCII

Counselor (Addiction (Substance Use Disorder))