Jessie Sudik, LPC
Counselor, Professional in Westlake, OH. Individual provider (NPI-1).
NPI number1295542686
StatusActive
Last updated in NPPESJan 7, 2025
Details
- NPI
- 1295542686
- Entity type
- Individual (NPI-1)
- Name
- Jessie Sudik
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2024
- Certification date
- Jan 7, 2025
- Last updated
- Jan 7, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | C.2406078 | OH | Yes |
Practice location
24500 Center Ridge Rd Ste 120Westlake, OH 44145-5602
Phone 440-508-6928 · Fax 888-868-7178
Mailing address
6492 Debbie DrNorth Ridgeville, OH 44039-3102
Phone 440-225-7962
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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