Jason S Delancey, PCCS, CCDC - I

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E0003750 Issued in OH

Practice address

817 Kilbourne St
Suite G
Bellevue, OH 44811-9431

Phone

(419) 483-9411

Fax

(419) 483-9247

NPI assigned

Apr 11, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cornerstone Counseling of Bellevue, LLC

  • Mental Health Counselor
  • Bellevue, OH
  • NPI 1225200611
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1780807073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 CIRCULAR ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448833000",
            "telephone_number": "419-443-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 KILBOURNE ST",
            "address_2": "SUITE G",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119431",
            "telephone_number": "419-483-9411",
            "fax_number": "419-483-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANCEY",
        "first_name": "JASON",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PCCS, CCDC - I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "001431",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0003750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Counsel RX Inc. (Medicine Shoppe of Bellevue)
• Counsel RX Inc. (Medicine Shoppe of Bellevue)
• Pamela Sue Dorothea Cramer, CNP
• Nicole J Danner, D.O.
• Kenna R Deborde
• Carrie Ann Dichiaro, M.D.
• Camille Doyle
• Erica Drossman, MT
• Mystique Mae Duff
• Anita Dupont

• Mental Health Counselor in Bellevue, OH
• Providers in Bellevue, 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 Sep 11, 2025; 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.