Jacqueline C Sundol, LPCC in Wooster, OH - Medicare Mental Health Counselor Provider

Jacqueline C Sundol, LPCC is a medicare enrolled "Counselor - Professional" provider in Wooster, Ohio. She went to University Of Texas Medical School At San Antonio and graduated in 2015 and has 11 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is 2000 Noble Dr, Wooster, Ohio. You can reach out to her office (for appointments etc.) via phone at (602) 685-6000.

Jacqueline C Sundol is licensed to practice in Ohio (license number E.2404147) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1952998379.

Contact Information

	Jacqueline C Sundol, LPCC
	2000 Noble Dr, Wooster, OH 44691-5353
	(602) 685-6000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline C Sundol
Gender	Female
Speciality	Mental Health Counselor
Experience	11 Years
Location	2000 Noble Dr, Wooster, Ohio
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqueline C Sundol attended and graduated from University Of Texas Medical School At San Antonio in 2015

NPI Data:

NPI Number: 1952998379
Provider Enumeration Date: 12/31/2020
Last Update Date: 12/22/2025

Medicare PECOS Information:

PECOS PAC ID: 8921525387
Enrollment ID: I20250508001808

Medical Identifiers

Medical identifiers for Jacqueline C Sundol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952998379	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC-19460 (Arizona)	Secondary
101YP2500X	Counselor - Professional	E.2404147 (Ohio)	Primary

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. Jacqueline C Sundol allows following entities to bill medicare on her behalf.

Entity Name	Brave Health Medical Group, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225669161 PECOS PAC ID: 9537586052 Enrollment ID: O20201113000093

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. Jacqueline C Sundol 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
Jacqueline C Sundol, LPCC 2000 Noble Dr, Wooster, OH 44691-5353 Ph: (330) 264-3232	Jacqueline C Sundol, LPCC 2000 Noble Dr, Wooster, OH 44691-5353 Ph: (602) 685-6000

Reviews and Comments

Counselor in Wooster, OH

Mr. Walter Andrew Bartashus, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2803 Akron Rd, Wooster, OH 44691 Phone: 330-264-3232 Fax: 330-202-3883
Mr. Joseph N Messner, MA, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2587 Back Orrville Rd, Wooster, OH 44691 Phone: 330-264-9597 Fax: 330-264-0946
Todd Lee Curtis, PC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2285 Benden Dr, Wooster, OH 44691 Phone: 330-264-9029 Fax: 330-263-7251
Abigail Moriah Rayder, LSW, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2685 Armstrong Rd, Wooster, OH 44691 Phone: 330-345-7949
Brieann E Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 Noble Dr, Wooster, OH 44691 Phone: 330-264-3232
Ms. Elaine N. Dian, PCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2803 Akron Rd, Wooster, OH 44691 Phone: 330-264-3232 Fax: 330-202-3879
Mrs. Dawn E Peters, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2285 Benden Dr, Wooster, OH 44691 Phone: 330-264-9029 Fax: 330-674-2014

Jacqueline C Sundol, LPCC - Medicare Counselor in Wooster, OH