Jamie Jackson
Individual provider Active NPI Mental Health Counselor · Cotuit, MA
NPI 1174473060 · NPPES record last updated Jan 30, 2026
Key facts
- NPI
- 1174473060
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 231121 (MA)
- Practice address
- 45 School St Unit 296
Cotuit, MA 02635-3579 - Phone
- (508) 296-0076
- NPI assigned
- Jan 30, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 231121 | MA | MD | Anesthesiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 231121 | MA | Yes |
Addresses
Primary practice location
45 School St Unit 296
Cotuit, MA 02635-3579
Mailing address
45 School St Unit 296
Cotuit, MA 02635-3579
Other providers in Cotuit, MA
- Ernest Algis Gailiunas
- Jeffrey Scott Garrison
- Joseph M Gergyes
- Genna Guarcello
- Healing Hands Wound Care LLC
- Jane Lee Johnson
- Christina Louise Kelley
- Shelby M Martin
- Matt Stranberg Consulting LLC
- Neil P Obrien
All providers in Cotuit, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.