Individual provider Active NPI

Jason Pelfrey, LPCC

  • Counselor
  • Wooster, OH
National Provider Identifier
1538732995
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.2606035 Issued in OH
Practice address
2587 Back Orrville Rd
Wooster, OH 44691-9523
Phone
(330) 264-9597
Fax
(330) 264-0946
NPI assigned
Jul 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Counselor 101Y00000X E.2606035 OH Primary

Addresses

Primary practice location

2587 Back Orrville Rd
Wooster, OH 44691-9523

Mailing address

2587 Back Orrville Rd
Wooster, OH 44691-9523
Phone (330) 264-9597

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260303002505 OH Practitioner - Mental Health Counselor 2769964477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anazao Community PartnersGroup PAC ID 6406345636, 4 clinicians

Practice addresses (Care Compare)

2587 Back Orrville Rd
Wooster, OH 44691-9523
Phone (330) 264-9597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2606035OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anazao Community Partners CurrentSince Jan 28, 2026 Accepting new patients
Anazao Community Partners PastSince Jul 25, 2021 Accepting new patients

Locations

2587 Back Orrville Rd
Wooster, OH 44691
Phone (330) 264-9597

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1538732995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2587 BACK ORRVILLE RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446919523",
            "telephone_number": "330-264-9597",
            "fax_number": "330-264-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2587 BACK ORRVILLE RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446919523",
            "telephone_number": "330-264-9597",
            "fax_number": "330-264-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELFREY",
        "first_name": "JASON",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.2606035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.