MRS. JODI R WILLETT (PCC) – Professional Counselor, NPI 1659590446

MRS. JODI R WILLETT (PCC) is a healthcare provider. based in Mansfield, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PCC. The NPI Number for MRS. JODI R WILLETT (PCC) is 1659590446

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JODI R WILLETT (PCC)
NPI
1659590446
Phone
(419) 774-9969
Address
151 MARION AVE
Enumeration Date
24 April 2007
Last Update Date
3 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4197749969
Graduation Year
2006 (20 years ago)
PAC ID
7911346614
Group Practice PAC ID
0749353464
Professional Enrollment ID
I20240415000978
Address ID
OH449032223MA151XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:19State licenses:0Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for MRS. JODI R WILLETT (PCC)

  • 151 MARION AVE

    MANSFIELD, OH 449032223

    Phone: (419) 774-9969

    Fax: (419) 756-5642

    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: 2024-04-15

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
I20240415000978IMental 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 44903)

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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: 0749353464View full group profile
NameSpecialtyState
-OH
Mental Health CounselorOH
-OH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Clinical Social WorkerOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

Is there an official ID for MRS. JODI R WILLETT (PCC) in U.S. healthcare records?
The official identifier for MRS. JODI R WILLETT (PCC) is NPI 1659590446.
Is MRS. JODI R WILLETT (PCC) shown as active in public data?
Registry records indicate MRS. JODI R WILLETT (PCC) maintains an active NPI.
What clinical focus is listed for MRS. JODI R WILLETT (PCC)?
At a glance, MRS. JODI R WILLETT (PCC) is tied to Professional Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. JODI R WILLETT (PCC)?
Travel planning: use Mansfield, Ohio as the reference point for MRS. JODI R WILLETT (PCC), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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