JORDAN CHRISTIAN PUCCINELLI LPCC M.ED
NPI 1730761370
Counselor - Mental Health in Berea, OH
About Jordan Christian Puccinelli Lpcc M.ed NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN CHRISTIAN PUCCINELLI LPCC M.ED (NPI 1730761370) is an individual mental health provider in Berea, Ohio, licensed in Ohio (E.2505015) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 3
Accepted 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)
Jordan Christian Puccinelli Lpcc M.ed is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Jordan Puccinelli's NPI number?
The NPI number for Jordan Puccinelli is 1730761370. It was assigned to this individual provider in the NPPES registry on April 23, 2021.
Where is Jordan Puccinelli located?
Jordan Puccinelli practices at 202 E Bagley Rd, Berea, OH 44017. The listed phone number is (440) 260-8300.
What is Jordan Puccinelli's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jordan Puccinelli enrolled in Medicare?
Yes. Jordan Puccinelli is registered in the Medicare PECOS enrollment system.
What insurance does Jordan Puccinelli accept?
Health plans from CareSource list Jordan Puccinelli 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 Jordan Puccinelli was last updated on August 30, 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.
# Jordan Christian Puccinelli, LPCC M.ED · NPI 1730761370
Mental Health provider in Berea, Ohio. Individual provider, active in the CMS NPPES registry since April 23, 2021.
## Identity
- **NPI:** 1730761370 (Entity type: Individual)
- **Enumerated:** April 23, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** E.2505015 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 202 E BAGLEY RD, Berea, OH 44017-2058
- **Phone:** (440) 260-8300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1730761370) · Data from the CMS NPPES public registry.