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JESSICA M WALLBROWN LPCC
NPI 1780019042
Counselor - Professional in Deerfield, OH

Active since September 05, 2013PECOS Enrolled
1786 MAHONING ROAD, DEERFIELD, OH 44411(330) 501-7658 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2023, May 24, 2023, Dec 1, 2021 and 1 more (4 updates tracked since 2019).

About Jessica M Wallbrown Lpcc NPPES

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

JESSICA M WALLBROWN LPCC (NPI 1780019042) is an individual professional provider in Deerfield, Ohio, licensed in Ohio (E.0008473) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1780019042
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA M WALLBROWNCredential: LPCC
Location Address1786 MAHONING ROADDeerfield, OH 44411
Mailing Address1786 Mahoning RoadDeerfield, OH 44411 · (330) 501-7658
Phone(330) 501-7658
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 5, 2013
Last NPPES UpdateNovember 6, 20234 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
✔ NPI 1780019042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.0008473
1786 MAHONING ROAD, Deerfield, OH 44411
Open in Google Maps ↗

Other Identifiers 1

Medicaid0238485OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Jessica M Wallbrown Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668824442
PECOS Enrollment IDI20240117002380
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 Jessica Wallbrown reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

All Things Creative Therapy LLC
14 mi
Professional
6490 STATE ROUTE 14
Ravenna, OH 44266
  • Reassigned Medicare billing, Ohio enrollment
NPI 1295430353 (330) 501-7658

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jessica Wallbrown's NPI number?

The NPI number for Jessica Wallbrown is 1780019042. It was assigned to this individual provider in the NPPES registry on September 5, 2013.

Where is Jessica Wallbrown located?

Jessica Wallbrown practices at 1786 Mahoning Road, Deerfield, OH 44411. The listed phone number is (330) 501-7658.

What is Jessica Wallbrown's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jessica Wallbrown enrolled in Medicare?

Yes. Jessica Wallbrown is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Wallbrown's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Wallbrown reassigns Medicare benefits to All Things Creative Therapy LLC (Ravenna, 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 Jessica Wallbrown's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Wallbrown accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Jessica Wallbrown 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 Jessica Wallbrown was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.