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

Jordan Christian Puccinelli, LPCCMED

Individual provider Case Manager/Care Coordinator · NPI 1730761370

Jordan Christian Puccinelli, LPCCMED is a Mental Health Counselor in Berea, Ohio. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

202 E Bagley Rd
Berea, OH 44017-2058
Phone: (440) 260-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence E.2505015 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X (OH)
Community Health Worker Taxonomy 172V00000X (OH)

Record details

NPI number1730761370
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCCMED
Sole proprietorYes
NPI enumeratedApril 23, 2021
Last updated in NPPESAugust 30, 2025
Certification dateAugust 30, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Berea