JEFFREY ALLEN SCHURGAST LPCC-S, LICDC
NPI 1639563844
Counselor - Professional in Middletown, OH

Q: What is Jeffrey Schurgast's NPI number?

The NPI number for Jeffrey Schurgast is 1639563844. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Q: What is Jeffrey Schurgast'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 Jeffrey Schurgast was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 25, 2015PECOS EnrolledAccepts Medicare Assignment

4464 S DIXIE HWY, MIDDLETOWN, OH 45005(513) 649-8008(513) 649-8004 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 9, 2017, Jan 30, 2017 (2 updates tracked since 2017).

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About Jeffrey Allen Schurgast Lpcc-s, Licdc NPPES

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

JEFFREY ALLEN SCHURGAST LPCC-S, LICDC (NPI 1639563844) is an individual professional provider in Middletown, Ohio, licensed in Ohio (E.1100455.SUPV) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1639563844

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameJEFFREY ALLEN SCHURGASTCredential: LPCC-S, LICDC

Location Address4464 S DIXIE HWYMiddletown, OH 45005-5464

Mailing Address4464 S Dixie HwyMiddletown, OH 45005-5464 · (513) 649-8008 · Fax (513) 649-8004

Phone(513) 649-8008

Fax(513) 649-8004

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMarch 25, 2015

Last NPPES UpdateFebruary 9, 20172 updates tracked since enumeration

✔ NPI 1639563844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OH · E.1100455.SUPV

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LICDC.141206 (OH)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License E.1100455.SUPV (OH)

4464 S DIXIE HWY, Middletown, OH 45005

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Other Identifiers 4

Other0074861OH · Medicaid Legacy Number Chemical Dependency

Other01-0693OH · Carf Certification

Other0074946OH · Medicaid Legacy Number Mental Health

OtherH130910OH · Medicare Group Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.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

Jeffrey Allen Schurgast Lpcc-s, Licdc 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 ID1052763208

PECOS Enrollment IDI20240123004410

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 Jeffrey Schurgast reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Access Counseling Services LLC

Same address

Community/Behavioral Health

4464 S DIXIE HWY
Middletown, OH 45005

Reassigned Medicare billing, Ohio enrollment
32 clinicians in this Medicare group

NPI 1073884524 (513) 649-8008

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.

LISA IGO PCC LCDCIII

Counselor (Professional)