Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackolyn Marie Van Horn, MED, LPCC

Individual provider Mental Health Counselor · NPI 1245852276

Jackolyn Marie Van Horn, MED, LPCC is a Mental Health Counselor in Carrollton, Ohio. Qualified in 2021, 5 years ago. Practices with Southeast Inc, a 48-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2020
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

611 High St NW
Carrollton, OH 44615-1117
Phone: (330) 627-3954
Fax: (330) 627-3984
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence E.2404325-SUPV (OH)

Record details

NPI number1245852276
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , LPCC
Sole proprietorNo
NPI enumeratedMay 13, 2020
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southeast Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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