Jackie B Piller, MA, LMHC
Counselor, Mental Health in Wrentham, Massachusetts
1689103863- Practice location
- 29 Franklin St Unit 3, Wrentham, MA 02093-1210
- Phone
- 617-644-0603
- Fax
- 617-644-0163
- Last updated
- January 13, 2022
Jackie Black Piller is a Counselor, Mental Health based in Wrentham, MA. Jackie Black Piller practices in Wrentham, MA and has the professional credentials of MA, LMHC. The NPI Number for Jackie Black Piller is 1689103863 and holds a License No. 11989 (MA). The current practice location address for Jackie Black Piller is 29 Franklin St Unit 3, Wrentham, MA 02093-1210 and can be reached out via phone at 617-644-0603 and via fax at 617-644-0163.
Provider Profile Details
- NPI Number
- 1689103863
- Provider Name
- Jackie Black Piller
- Credential
- MA, LMHC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 29 Franklin St Unit 3, Wrentham, MA 02093-1210
- Phone Number
- 617-644-0603
- Fax Number
- 617-644-0163
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 9, 2017
- Last Update Date
- January 13, 2022
- Certification Date
- January 13, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 29 Franklin St Unit 3
Wrentham, MA 02093-1210 - City
- Wrentham
- State
- Massachusetts
- Zip
- 02093-1210
- Phone Number
- 617-644-0603
- Fax Number
- 617-644-0163
Provider Business Mailing Address Details
- Address
- 105 Meetinghouse RD
Norfolk, MA 02056-1795 - City
- Norfolk
- State
- MA
- Zip
- 02056-1795
- Phone Number
- 617-259-0125
License Information
- License Number
- 11989
- License State
- MA
- Taxonomy
- 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 Jackie B Piller, MA, LMHC?
The NPI number of Jackie B Piller, MA, LMHC is 1689103863. It was assigned on June 9, 2017 and is currently active in the NPPES registry.
What is the specialty of Jackie B Piller, MA, LMHC?
Jackie B Piller, MA, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 11989.
Where does Jackie B Piller, MA, LMHC practice?
The practice location is 29 Franklin St Unit 3, Wrentham, MA 02093-1210. The office can be reached at 617-644-0603 (phone) or 617-644-0163 (fax).
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 1689103863 directly on the NPPES registry website.