Active NPI 1306206487 Individual Practitioner Male Practitioner

Jacques Pelser , LPCC-S, LIDCD

Counselor - Professional • Massillon, OH

Professional Overview & Biography Verified Profile Summary

Jacques Pelser, LPCC-S, LIDCD is a registered healthcare professional specializing in Counselor - Professional in Massillon, OH. Practice services are available at 1680 NAVE RD SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1680 Nave Rd Se

Massillon, OH 446469604

Telephone 3308308740

Fax 3308300912

Associated Practice Facility / Clinic

🏢 Quest Recovery And Prevention Services Facility NPI 1578512752

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Massillon, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 15.4 Yrs

State Avg: 15.9 Yrs

Regional Practice Density

37 Specialists

Practicing in Massillon, OH (6923 Statewide)

Telehealth Adoption Rate

8.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-07

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E.1901301-SUPV

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH LICDC.161995

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0266616 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Kelly Mccarthy , LCDCII

Counselor - Addiction (Substance Use Disorder)

NPI 1043736192

Jennifer Jinks , RN

Registered Nurse

NPI 1053719146

Registered Nurse

Patricia Hayes , LPN

Licensed Practical Nurse

NPI 1053839183

Licensed Practical Nurse

Rebecca Ajah , MSW, LISW

Social Worker - Clinical

NPI 1053881847

Master of Social Work, Licensed Independent Social Worker

Tiffany Stephan , LPC

Counselor - Mental Health

NPI 1063726263

Licensed Professional Counselor

Matthew Bell , CDCA, PRS

Counselor - Addiction (Substance Use Disorder)

NPI 1083257463

Chemical Dependency Counselor Assistant, PRS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2022

Counselor (License #LICDC.161995 in OH)

📍

Updated Practice Location June 02, 2022

Registered at 1680 NAVE RD SE, MASSILLON, OH 446469604 (Tel: 3308308740)

👤

Provider Name / Credentials Updated June 02, 2022

Recorded as JACQUES PELSER, LPCC-S, LIDCD

📍

Updated Practice Location July 15, 2019

Registered at 601 CLEVELAND AVE NW, CANTON, OH 44702 (Tel: 3304550374)

👤

Provider Name / Credentials Updated July 15, 2019

Recorded as JACQUES PELSER, LPCC, LCDCIII

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2019

Counselor (License #LCDCIII161908 in OH)

✅

NPI Profile Active July 28, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 28, 2016

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304538252)

📍

Updated Business Mailing Address July 28, 2016

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304538252)

👤

Provider Name / Credentials Updated July 28, 2016

Recorded as JACQUES PELSER, CDCA, CT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2016

Counselor (License #C.1600178-TRNE in OH)

🟢

Initial NPI Registration & Enumeration March 02, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1306206487

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 02, 2016

Last Update: July 07, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

625 Cleveland Ave Nw

Canton, OH 447021805

Phone: 3304550374

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.