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Active NPI 1679792535 Individual Practitioner Female Practitioner

Barbara J Pack , LPCC-S, LICDC-CS

Counselor - Professional • Massillon, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Barbara Pack, LPCC-S, LICDC-CS is a certified Counselor - Professional practicing in Massillon, OH. With approximately 26 years of clinical experience since completing medical education in 2000, Barbara Pack delivers high-quality medical care to the local community at 3484 AMHERST AVE NW.

Barbara Pack is affiliated with Mccd Fl Psychiatry Services Pa and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

3484 Amherst Ave Nw

Massillon, OH 446461732

Telephone 3305758895

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Massillon, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +10.6 yrs vs City Avg
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

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pack (26 Years) 26 Yrs
Massillon Specialty Average (15.4 Years) 15.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-11-08
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E.0004203-SUPV

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License FL TPMC5148

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH ICDC.011148 CS

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
096549 (OH)

Hospital & Practice Group Affiliations

Mccd Fl Psychiatry Services Pa

9435 Waterstone Blvd, Cincinnati, OH 452498229

Phone: 8333518255

Secondary Practice Locations

1301 Riverplace Blvd Ste 800

Jacksonville, FL 322079032

Phone: 8333518255

9435 Waterstone Blvd Ste 140

Cincinnati, OH 452498229

Phone: 8333518255

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) November 08, 2024

Counselor (License #TPMC5148 in FL)

📍
Updated Practice Location July 09, 2024

Registered at 3484 AMHERST AVE NW, MASSILLON, OH 446461732 (Tel: 3305758895)

📍
Updated Business Mailing Address July 09, 2024

Registered at 3484 AMHERST AVE NW, MASSILLON, OH 446461732 (Tel: 3305758895)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2024

Counselor (License #E.0004203-SUPV in OH)

📍
Updated Practice Location July 29, 2020

Registered at 104 SPINK ST, WOOSTER, OH 446913652 (Tel: 3302648498)

📍
Updated Business Mailing Address July 29, 2020

Registered at 104 SPINK ST, WOOSTER, OH 446913652 (Tel: 3302648498)

NPI Profile Active December 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 07, 2016

Registered at 832 MCKINLEY AVE NW, CANTON, OH 447032463 (Tel: 3304301235)

📍
Updated Business Mailing Address December 07, 2016

Registered at 832 MCKINLEY AVE NW, CANTON, OH 447032463 (Tel: 3304301235)

👤
Provider Name / Credentials Updated December 07, 2016

Recorded as BARBARA PACK, LPCC-S, LICDC-CS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2016

Counselor (License #ICDC.011148 CS in OH)

🟢
Initial NPI Registration & Enumeration April 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679792535
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2007
Last Update: November 08, 2024
Sole Proprietor: No

Mailing Address

3484 Amherst Ave Nw

Massillon, OH 446461732

Phone: 3305758895

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.