Jaclyn Shlapack, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.22505086 Issued in OH

Practice address

215 Miller Rd Ste 7
Avon Lake, OH 44012-1013

Phone

(440) 742-1661

Fax

(833) 450-0400

NPI assigned

Jul 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Leaf Counseling Services LLCGroup PAC ID 4486812997, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Leaf Counseling Services LLC

  • Professional Counselor
  • Avon Lake, OH
  • NPI 1609197631
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1336712967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 W 30TH ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440524654",
            "telephone_number": "440-320-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MILLER RD STE 7",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121013",
            "telephone_number": "440-742-1661",
            "fax_number": "833-450-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Milan Ave",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "OH",
            "postal_code": "440011491",
            "country_code": "US",
            "telephone_number": "440-766-0006",
            "fax_number": "833-450-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHLAPACK",
        "first_name": "JACLYN",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.22505086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Elizabeth Scott, PA-C
• Scott H. Seipel, OD
• Jimmy Bill Servetas, D.O.
• Karan Sandip Shah, PT, DPT
• Aarika Sheehan, PT, DPT
• Melanie J Shmois, MSSA
• Michael Shockey
• Marie A. Simon, DDS
• Rayeka Sitabkhan, MD
• Bethany Sue Small

• Mental Health Counselor in Avon Lake, OH
• Providers in Avon Lake, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.