JESSICA WYANT – Counselor, NPI 1578912200

JESSICA WYANT is a healthcare provider. based in Beachwood, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. C1400672 (OH). The NPI Number for JESSICA WYANT is 1578912200

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA WYANT
NPI
1578912200
Phone
(216) 831-6466
Address
24200 CHAGRIN BLVD
Enumeration Date
3 June 2016
Last Update Date
3 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4407016170
Graduation Year
2016 (10 years ago)
PAC ID
9335592716
Group Practice PAC ID
5799038055
Professional Enrollment ID
I20240201002607
Address ID
OH440605432ME7547XAVEX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for JESSICA WYANT

  • 24200 CHAGRIN BLVD

    BEACHWOOD, OH 441225550

    Phone: (216) 831-6466

    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: 2024-02-01

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
I20240201002607IMental 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 44122)

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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: 5799038055View full group profile
NameSpecialtyState
Mental Health CounselorOH
Clinical Social WorkerOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
-OH
Mental Health CounselorOH
Clinical Social WorkerCA
Clinical Social WorkerOH

Reviews

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Frequently asked questions

How do I look up JESSICA WYANT by NPI?
Use NPI 1578912200 when you need to reference JESSICA WYANT in forms, claims, or directories.
Does this profile mean JESSICA WYANT is currently active?
Yes — JESSICA WYANT appears active in the national provider directory.
What does JESSICA WYANT treat or focus on?
Patients typically see JESSICA WYANT under the specialty Counselor. Clinical services aligned with this taxonomy classification.
Where is JESSICA WYANT's primary listing?
We display Beachwood, Ohio because that is what the record indicates for JESSICA WYANT.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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