Individual provider Active NPI

Jessica Brissel

  • Mental Health Counselor
  • Burton, OH
National Provider Identifier
1699278663
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2204743 Issued in OH
Practice address
14707 S Cheshire St
Burton, OH 44021-9601
Phone
(440) 887-1100
Fax
(440) 887-1103
NPI assigned
Mar 15, 2018
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2204743 OH Primary
Professional Counselor 101YP2500X C.2204743 OH

Addresses

Primary practice location

14707 S Cheshire St
Burton, OH 44021-9601

Mailing address

6900 Ridge Rd
Parma, OH 44129-5650
Phone (440) 887-1100

Other practice location 1

6900 Ridge Rd
Parma, OH 44129-5650
Phone (440) 887-1100 ext. 243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C.2204743OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
McIntyre Center Inc. CurrentSince Nov 1, 2024 Accepting new patients
McIntyre Center Inc. PastSince Jan 14, 2024 Accepting new patients

Locations

14707 S Cheshire St
Burton, OH 44021
Phone 4408871100 ext. 243

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1699278663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 RIDGE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295650",
            "telephone_number": "440-887-1100",
            "fax_number": "440-887-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14707 S CHESHIRE ST",
            "city": "BURTON",
            "state": "OH",
            "postal_code": "440219601",
            "telephone_number": "440-887-1100",
            "fax_number": "440-887-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441295650",
            "country_code": "US",
            "telephone_number": "440-887-1100 x243",
            "fax_number": "440-887-1103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRISSEL",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2204743",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2204743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.