Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. JERRY E SEMIVAN MSED, LPCC
NPI 1881656874
Counselor - Mental Health in Boardman, OH

Q: What is Jerry Semivan's NPI number?

The NPI number for Jerry Semivan is 1881656874. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Q: What is Jerry Semivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jerry Semivan was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 05, 2006PECOS Enrolled

955 WINDHAM CT, SUITE 2, BOARDMAN, OH 44512(330) 884-1900(330) 884-1928 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Mr. Jerry E Semivan Msed, Lpcc NPPES

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

MR. JERRY E SEMIVAN MSED, LPCC (NPI 1881656874) is an individual mental health provider in Boardman, Ohio, licensed in Ohio (E0001311) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881656874

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. JERRY E SEMIVANCredential: MSED, LPCC

Location Address955 WINDHAM CT, SUITE 2Boardman, OH 44512-5035

Mailing Address955 Windham Ct, Suite 2Boardman, OH 44512-5035 · (330) 884-1900 · Fax (330) 884-1928

Phone(330) 884-1900

Fax(330) 884-1928

Sole ProprietorNo

Enumeration DateApril 5, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1881656874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OH · E0001311

955 WINDHAM CT, Boardman, OH 44512

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Accepted Insurance

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

Mr. Jerry E Semivan Msed, Lpcc 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.

MS. MELANIE L. OLSEN MSED

Counselor (Mental Health)

955 WINDHAM CT, SUITE 2
BOARDMAN, OH 44512

Mahoning County (330) 884-1900

MRS. LISA SKOMRA-LOTZE MSED

Counselor (Mental Health)

955 WINDHAM CT, SUITE 2
BOARDMAN, OH 44512

Mahoning County (330) 884-1900

MRS. CATHERINE F AIGNER RNCS, NP

Registered Nurse (Psychiatric/Mental Health, Adult)

955 WINDHAM CT, SUITE 2
BOARDMAN, OH 44512

Mahoning County (330) 884-1900

COMPREHENSIVE PSYCHIATRY GROUP INC

Social Worker

955 WINDHAM CT, SUITE 2
BOARDMAN, OH 44512

Mahoning County (330) 726-9570

MRS. NANCY A BLEGGI LPCC

Counselor (Mental Health)

955 WINDHAM CT
BOARDMAN, OH 44512

Mahoning County (330) 726-9570

MR. MATTHEW THEODORE REITER MAED

Counselor (Professional)

955 WINDHAM CT
BOARDMAN, OH 44512

Mahoning County (330) 726-9570

MR. MARK C DEMETRIOS CNP

Nurse Practitioner (Psychiatric/Mental Health)

955 WINDHAM CT, SUITE 2
BOARDMAN, OH 44512

Mahoning County (330) 726-9570

DR. PRADEEP MATHUR MD

Psychiatry & Neurology (Psychiatry)

955 WINDHAM CT, SUITE 2
BOARDMAN, OH 44512

Mahoning County (330) 726-9570

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 Jerry Semivan's NPI number?

The NPI number for Jerry Semivan is 1881656874. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Jerry Semivan located?

Jerry Semivan practices at 955 Windham Ct Suite 2, Boardman, OH 44512. The listed phone number is (330) 884-1900.

What is Jerry Semivan's specialty?

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

Is Jerry Semivan enrolled in Medicare?

Yes. Jerry Semivan is registered in the Medicare PECOS enrollment system.

What insurance does Jerry Semivan accept?

Health plans from CareSource and MedMutual list Jerry Semivan 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 Jerry Semivan was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.