Individual provider · Type 1 NPI

Jordan Christian Puccinelli, LPCC M.ED

Mental Health Counselor · Berea, OH

NPI number 1730761370 Active

Practice location

202 E Bagley Rd
Berea, OH 44017-2058

Call (440) 260-8300 Map

Mailing address

6255 W River Rd S
Elyria, OH 44035-5433

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Mental Health Counselor Primary 101YM0800XE.2505015 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1730761370

Jordan Christian Puccinelli, LPCC M.ED's National Provider Identifier is 1730761370, issued on Apr 23, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Berea, OH. The record was last updated on Aug 30, 2025.