Dr Jessica Headley, LPCC-S - Medicare Counselor in Canton, OH

  1. Home
  2. Counselors
  3. OH
  4. Canton
Dr Jessica Headley, LPCC-S is a medicare enrolled "Counselor - Mental Health" provider in Canton, Ohio. Her current practice location is 4522 Fulton Dr Nw, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 915-2907.

Dr Jessica Headley is licensed to practice in Ohio (license number E.1901408-SUPV) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316450562.

Contact Information

Dr Jessica Headley, LPCC-S
4522 Fulton Dr Nw,
Canton, OH 44718-2332
(330) 915-2907
(330) 915-2958

Map and Direction


Healthcare Provider's Profile

Full NameDr Jessica Headley
GenderFemale
SpecialityCounselor - Mental Health
Location4522 Fulton Dr Nw, Canton, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316450562
  • Provider Enumeration Date: 11/09/2017
  • Last Update Date: 10/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8325437437
  • Enrollment ID: I20240126003013

Medical Identifiers

Medical identifiers for Dr Jessica Headley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316450562NPI-NPPES
0280724MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional E.1901408-SUPV (Ohio)Secondary
101Y00000XCounselor E.1901408-SUPV (Ohio)Secondary
101YM0800XCounselor - Mental Health E.1901408-SUPV (Ohio)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jessica Headley allows following entities to bill medicare on her behalf.
Entity NameWellness Grove Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043899859
PECOS PAC ID: 5092104109
Enrollment ID: O20211111000586

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jessica Headley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jessica Headley, LPCC-S
4522 Fulton Dr Nw,
Canton, OH 44718-2332

Ph: (330) 915-2907		Dr Jessica Headley, LPCC-S
4522 Fulton Dr Nw,
Canton, OH 44718-2332

Ph: (330) 915-2907

Reviews and Comments


Counselor in Canton, OH

Joseph N Lockett, LICDC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1341 Market Ave N, Canton, OH 44714
Phone: 330-453-8252    Fax: 330-453-6716
Amy Nelson, CT, CDCA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1341 Market Ave N, Canton, OH 44714
Phone: 330-453-8252    
Hillary A Whiteman,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1341 Market Ave N, Canton, OH 44714
Phone: 330-453-8252    Fax: 330-453-6716
Brendan Rowe, CT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718
Phone: 330-915-2907    
Obiageri Ebere Ngwaogu, CT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1341 Market Ave N, Canton, OH 44714
Phone: 330-453-8252    Fax: 330-452-4655
Kelli N Mann, PCC
Counselor
Medicare: Medicare Enrolled
Practice Location: 3745 Whipple Ave Nw Ste A, Canton, OH 44718
Phone: 330-331-7506    
Zakree Buccitelli, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718
Phone: 330-915-2907    Fax: 330-915-2958

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.