JENNIFER ANN WAUGH (PCC) – Mental Health Counselor, NPI 1285975896

JENNIFER ANN WAUGH (PCC) is a healthcare provider. based in Ravenna, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PCC. They hold a License No. E0900194 (OH). The NPI Number for JENNIFER ANN WAUGH (PCC) is 1285975896

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER ANN WAUGH (PCC)
NPI
1285975896
Phone
(330) 235-4134
Address
226 KING ST
Enumeration Date
6 March 2013
Last Update Date
6 March 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2168392273
Graduation Year
2009 (17 years ago)
PAC ID
4981017407
Group Practice PAC ID
9335044619
Professional Enrollment ID
I20240129003202
Address ID
OH441242939LY5555XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for JENNIFER ANN WAUGH (PCC)

  • 226 KING ST

    RAVENNA, OH 442662814

    Phone: (330) 235-4134

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240129003202IMental Health CounselorOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44266)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335044619View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Mental Health CounselorOH
Clinical Social WorkerOH
Mental Health CounselorOH
Clinical Social WorkerOH
Clinical Social WorkerOH
Clinical Social WorkerOH
Mental Health CounselorOH
Clinical PsychologistOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

What is the standard ID for JENNIFER ANN WAUGH (PCC) in the U.S.?
In the U.S., JENNIFER ANN WAUGH (PCC) is identified by NPI 1285975896.
Is JENNIFER ANN WAUGH (PCC)'s NPI status active today?
Active status means JENNIFER ANN WAUGH (PCC)'s NPI record is not deactivated in the public file.
What services align with JENNIFER ANN WAUGH (PCC)'s listing?
JENNIFER ANN WAUGH (PCC)'s public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is JENNIFER ANN WAUGH (PCC) tied to Ravenna, Ohio?
If you are local to Ravenna, Ohio, JENNIFER ANN WAUGH (PCC) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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