Jessica Louise Pasch, LCDCIII
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Arcadia, OH
NPI 1740944420 · NPPES record last updated Jan 8, 2025
Key facts
- NPI
- 1740944420
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- LCDCIII.162694 (OH)
- Practice address
- 205 Jefferson St
Arcadia, OH 44804-9786 - Phone
- (419) 350-7771
- NPI assigned
- Oct 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.182127 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| LCDCIII.162694 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Another Second Chance LLC | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.182127 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDCIII.162694 | OH | Yes |
Addresses
Primary practice location
205 Jefferson St
Arcadia, OH 44804-9786
Mailing address
205 Jefferson St
Arcadia, OH 44804-9786
Phone (419) 350-7771
Other providers in Arcadia, OH
- Carol Ann Berning
- Robin Lynn Brown
- Charity Marie Emahiser
- Luwana J. Engler
- Brandon A Koehler
- Shawn Kenneth Pasch
All providers in Arcadia, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.