NPIMap

Organization Active NPI

Jay Pesek Counseling Services, LLC

Doing business as Pesek Counseling Services

  • Counselor
  • Helena, AL
National Provider Identifier
1245690437
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3568 Issued in AL
Legal business name
JAY PESEK COUNSELING SERVICES, LLC
Doing business as
Pesek Counseling Services
Practice address
277 Village Pkwy
Helena, AL 35080-4028
Phone
(205) 624-3076
Fax
(844) 835-1972
NPI assigned
Mar 1, 2016
Last updated
Jun 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jon T Pesek II, LPCNPI 1710399704
Title
Owner
Phone
(205) 624-3076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3568 AL Primary

Addresses

Primary practice location

277 Village Pkwy
Helena, AL 35080-4028

Mailing address

277 Village Pkwy
Helena, AL 35080-4028
Phone (205) 624-3076

Other identifiers 1

IdentifierTypeStateIssuer
182873MedicaidAL

Other names 1

  • Pesek Counseling Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240419002799 AL Part B Supplier - Clinic/Group Practice 4082053236 Receives reassigned benefits from 6 practitioners
Practice locations: Helena, AL

National Provider Directory

National Provider Directory

Locations

277 Village Pkwy
Helena, AL 35080
Phone (205) 620-5025

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1245690437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 VILLAGE PKWY",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "350804028",
            "telephone_number": "205-624-3076",
            "fax_number": "844-835-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 VILLAGE PKWY",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "350804028",
            "telephone_number": "205-624-3076",
            "fax_number": "844-835-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY PESEK COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "PESEK",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-624-3076",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "3568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182873",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pesek Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Helena, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.