JACLYN CZERNIAK LPC
NPI 1487078762
Counselor - Professional in Suffield, CT

NPI Status: Active since February 07, 2014

Contact Information

880 BURBANK AVE
SUFFIELD, CT
ZIP 06078
Phone: (860) 539-6736

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  • Individual
  • Female
  • Years of Experience 13
  • Counselor
  • Professional
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JACLYN CZERNIAK

This page provides the complete NPI Profile along with additional information for Jaclyn Czerniak, a provider established in Suffield, Connecticut with a medical specialization in Counselor, focusing in professional and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1487078762 assigned on February 2014. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1487078762
Provider Name
JACLYN CZERNIAK LPC
Gender
Female
Entity Type
Individual
Location Address
880 BURBANK AVE SUFFIELD, CT 06078
Location Phone
(860) 539-6736
Mailing Address
PO BOX 605 SUFFIELD, CT 06078
Medical School Name
OTHER
Graduation Year
2013
Is Sole Proprietor?
No
Enumeration Date
02-07-2014
Last Update Date
03-24-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 

Medicare Participation & PECOS Enrollment Status

Jaclyn Czerniak is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jaclyn Czerniak is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4183074487

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20231228003623

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for JACLYN CZERNIAK LPC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487078762
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241670716712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 0 + 7 + 1 + 6 + 7 + 1 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1487078762 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417370701 MARISA SAVLUK LCSW
Individual
Social Worker880 BURBANK AVE
SUFFIELD, CT 06078
(860) 416-8277
1841231917 KRISTINA MARIE HALLETT PH.D., ABPP
Individual
Psychologist (Clinical)880 BURBANK AVE
SUFFIELD, CT 06078
(860) 965-1655
1033867585 RACHEL WEINTRAUB LPC, NCC
Individual
Counselor (Professional)880 BURBANK AVE
SUFFIELD, CT 06078
(860) 758-7564
1346949682 ASHLEY PICKNELLY VASSALLO LMSW
Individual
Counselor (Mental Health)880 BURBANK AVE
SUFFIELD, CT 06078
(413) 530-7038
1720511389KRISTINA HALLETT, PHD, ABPP. INC.
Organization
Psychologist (Clinical)880 BURBANK AVE
SUFFIELD, CT 06078
(860) 965-1655
1518441997 JILL JOHNSON MC
Individual
Counselor (Mental Health)880 BURBANK AVE
SUFFIELD, CT 06078
(480) 273-3844
1205357134NORTH CENTRAL CONNECTICUT PSYCHOTHERAPY PC
Organization
Counselor (Mental Health)880 BURBANK AVE
SUFFIELD, CT 06078
(413) 478-1764
1457186041 DENISE BYCZKO LMSW
Individual
Social Worker (Clinical)880 BURBANK AVE
SUFFIELD, CT 06078
(860) 301-7735
1497582852 TAYLOR ALEXANDRIA PIGGOTT LPC-A
Individual
Counselor (Professional)880 BURBANK AVE
SUFFIELD, CT 06078
(860) 758-7564
1952120719 ERICA MISIORSKI MS, LPC
Individual
Counselor (Professional)880 BURBANK AVE
SUFFIELD, CT 06078
(860) 292-0599

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487078762, enumerated in the NPI registry as an "individual" on February 07, 2014

The provider is located at 880 Burbank Ave Suffield, Ct 06078 and the phone number is (860) 539-6736

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

The provider has more than 13 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on February 07, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.