Jackolyn Marie Van Horn, MED, LPCC in Carrollton, OH - Medicare Mental Health Counselor Provider

Jackolyn Marie Van Horn, MED, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Carrollton, Ohio. She graduated from healthcare school in 2021 and has 4 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Southeast Inc and her current practice location is 611 High St Nw, Carrollton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 627-3954.

Jackolyn Marie Van Horn is licensed to practice in Ohio (license number E.2404325-SUPV) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245852276.

Contact Information

	Jackolyn Marie Van Horn, MED, LPCC
	611 High St Nw, Carrollton, OH 44615-1117
	(330) 627-3954
	(330) 627-3984

Map and Direction

Healthcare Provider's Profile

Full Name	Jackolyn Marie Van Horn
Gender	Female
Speciality	Mental Health Counselor
Experience	4 Years
Location	611 High St Nw, Carrollton, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jackolyn Marie Van Horn graduated from medical school in 2021

NPI Data:

NPI Number: 1245852276
Provider Enumeration Date: 05/13/2020
Last Update Date: 11/20/2025

Medicare PECOS Information:

PECOS PAC ID: 7315486883
Enrollment ID: I20240828002187

Medical Identifiers

Medical identifiers for Jackolyn Marie Van Horn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245852276	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	E.2404325-SUPV (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeast Inc	8426014853	33

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jackolyn Marie Van Horn allows following entities to bill medicare on her behalf.

Entity Name	Southeast Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932169497 PECOS PAC ID: 8426014853 Enrollment ID: O20041207000632

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackolyn Marie Van Horn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jackolyn Marie Van Horn, MED, LPCC 611 High St Nw, Carrollton, OH 44615-1117 Ph: (330) 627-3954	Jackolyn Marie Van Horn, MED, LPCC 611 High St Nw, Carrollton, OH 44615-1117 Ph: (330) 627-3954

Reviews and Comments

Counselor in Carrollton, OH

Kate Elizabeth Spahlinger, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 W Main St, Carrollton, OH 44615 Phone: 330-627-4313 Fax: 330-627-1141
Mrs. Elisa Marie Hershey, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 245 2nd St Nw, Carrollton, OH 44615 Phone: 330-627-0087 Fax: 330-627-0089
Mrs. Weslee Warner, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 783 Jones Ave Nw, Carrollton, OH 44615 Phone: 330-627-3954 Fax: 330-627-3984
Amanda D Risaliti, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 W Main St, Carrollton, OH 44615 Phone: 330-627-4313 Fax: 330-343-8188
Mrs. Lori Ann Miller, PCC, LSW, LCDCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 2nd St Se, Carrollton, OH 44615 Phone: 330-627-4042

Jackolyn Marie Van Horn, MED, LPCC - Medicare Counselor in Carrollton, OH