JESSICA HAYLEY POLLAK LPC
NPI 1831782960
Counselor - Mental Health in Beachwood, OH

Active since February 19, 2021Opted out of Medicare · through Oct 20, 2026
21625 CHAGRIN BLVD STE 200, BEACHWOOD, OH 44122(216) 777-8834 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2022, Aug 18, 2021, Feb 19, 2021 (3 updates tracked since 2021).

About Jessica Hayley Pollak Lpc NPPES

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

JESSICA HAYLEY POLLAK LPC (NPI 1831782960) is an individual mental health provider in Beachwood, Ohio, licensed in Ohio (C.2204271) and active in the NPI registry since February 2021. She has opted out of Medicare through October 20, 2026 and maintains a secondary practice location in Mentor.

NPPES Registry Identity

NPI1831782960
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA HAYLEY POLLAKCredential: LPC
Location Address21625 CHAGRIN BLVD STE 200Beachwood, OH 44122-5364
Mailing Address36042 Meadowdale DrSolon, OH 44139-3063 · (216) 337-5516
Sole ProprietorYes
Enumeration DateFebruary 19, 2021
Last NPPES UpdateJune 6, 20223 updates tracked since enumeration
NPPES CertifiedJune 6, 2022
NPI 1831782960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in OH · C.2204271 Licensed in OH · C2002792
21625 CHAGRIN BLVD STE 200, Beachwood, OH 44122

Secondary Practice Location 1

Location 18224 Mentor Ave Ste 208Mentor, OH 44060-5743 · Phone (440) 392-2222 ext. 308 · Fax (440) 565-2349

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jessica Hayley Pollak Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 20, 2024 through October 20, 2026.

Opt-Out Effective DateOctober 20, 2024
Opt-Out In Effect ThroughOctober 20, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
21625 CHAGRIN BLVD STE 200
BEACHWOOD, OH 44122

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 Pollak's NPI number?

The NPI number for Jessica Pollak is 1831782960. It was assigned to this individual provider in the NPPES registry on February 19, 2021.

Where is Jessica Pollak located?

Jessica Pollak practices at 21625 Chagrin Blvd Ste 200, Beachwood, OH 44122. The listed phone number is (216) 777-8834.

What is Jessica Pollak's specialty?

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

Is Jessica Pollak enrolled in Medicare?

No. Jessica Pollak has opted out of Medicare through October 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jessica Pollak accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Jessica Pollak 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 Pollak was last updated on June 6, 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.