Katelan Jackson, LMHC
Counselor, Mental Health in Sandwich, Massachusetts
1144668807- Practice location
- 68 Tupper RD Unit 10, Sandwich, MA 02563-1872
- Phone
- 508-348-9588
- Fax
- —
- Last updated
- June 27, 2024
Katelan Jackson is a Counselor, Mental Health based in Sandwich, MA. Katelan Jackson practices in Sandwich, MA and has the professional credentials of LMHC. The NPI Number for Katelan Jackson is 1144668807 and holds a License No. 10578 (MA). The current practice location address for Katelan Jackson is 68 Tupper RD Unit 10, Sandwich, MA 02563-1872 and can be reached out via phone at 508-348-9588.
Provider Profile Details
- NPI Number
- 1144668807
- Provider Name
- Katelan Jackson
- Credential
- LMHC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 68 Tupper RD Unit 10, Sandwich, MA 02563-1872
- Phone Number
- 508-348-9588
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Other Names
- Katelan Songer (Former Name)
- Provider Enumeration Date
- June 4, 2013
- Last Update Date
- June 27, 2024
- Certification Date
- June 27, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 68 Tupper RD Unit 10
Sandwich, MA 02563-1872 - City
- Sandwich
- State
- Massachusetts
- Zip
- 02563-1872
- Phone Number
- 508-348-9588
Provider Business Mailing Address Details
- Address
- 12 Pin Oak Dr
East Sandwich, MA 02537-1313 - City
- East Sandwich
- State
- MA
- Zip
- 02537-1313
- Phone Number
- 508-348-9588
License Information
- Taxonomy (1)
- Counselor, School · 101YS0200X
- License Number (2)
- 10578
- License State (2)
- MA
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Katelan Jackson, LMHC?
The NPI number of Katelan Jackson, LMHC is 1144668807. It was assigned on June 4, 2013 and is currently active in the NPPES registry.
What is the specialty of Katelan Jackson, LMHC?
Katelan Jackson, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 10578.
Where does Katelan Jackson, LMHC practice?
The practice location is 68 Tupper RD Unit 10, Sandwich, MA 02563-1872. The office can be reached at 508-348-9588 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144668807 directly on the NPPES registry website.