KELSEY JAGER (PC) – Mental Health Counselor, NPI 1457795726

KELSEY JAGER (PC) is a healthcare provider. based in North ridgeville, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PC. They hold a License No. E.0900358-SUPV (OH). The NPI Number for KELSEY JAGER (PC) is 1457795726

Main info

Female
7 Years Of Experience
Name
KELSEY JAGER (PC)
NPI
1457795726
Phone
(440) 327-1800
Address
35888 CENTER RIDGE RD
Enumeration Date
17 April 2013
Last Update Date
10 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4409738400
Graduation Year
2019 (7 years ago)
PAC ID
0042743213
Group Practice PAC ID
9436553716
Professional Enrollment ID
I20241025002373
Address ID
OH441303483MI18660RDXX307
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for KELSEY JAGER (PC)

  • 35888 CENTER RIDGE RD

    SUITE 5

    NORTH RIDGEVILLE, OH 440396002

    Phone: (440) 327-1800

    Fax: (440) 327-1533

    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: 2024-10-25

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
I20241025002373IMental 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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 44039)

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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: 9436553716View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)OH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What unique ID ties claims to KELSEY JAGER (PC)?
NPI 1457795726 is assigned to KELSEY JAGER (PC) under the national enumeration system.
Is KELSEY JAGER (PC) currently active in the NPI registry?
CMS-published data lists KELSEY JAGER (PC) as an active registrant.
Can you summarize KELSEY JAGER (PC)'s specialty in plain language?
Clinically, the directory lists KELSEY JAGER (PC) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is KELSEY JAGER (PC)'s primary listing?
We display North Ridgeville, Ohio because that is what the record indicates for KELSEY JAGER (PC).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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