Organization Active NPI

JCL Counseling Group, LLP

  • Mental Health Counselor
  • Lynnfield, MA
National Provider Identifier
1205084712
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3605 Issued in MA
Legal business name
JCL COUNSELING GROUP, LLP
Practice address
200 Broadway
Suite 301
Lynnfield, MA 01940-2349
Phone
(978) 223-0672
NPI assigned
Sep 9, 2008
Last updated
Sep 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Catherine Michele Elliott, LMHCNPI 1346202702
Title
Managing Partner
Phone
(978) 223-0672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3605 MA Primary

Addresses

Primary practice location

200 Broadway
Suite 301
Lynnfield, MA 01940-2349

Mailing address

200 Broadway
Suite 301
Lynnfield, MA 01940-2349
Phone (978) 223-0672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240409000149 MA Part B Supplier - Clinic/Group Practice 8325486178 Receives reassigned benefits from 1 practitioner
Practice locations: Wakefield, MA

National Provider Directory

National Provider Directory

Locations

200 Broadway
Ste 301
Lynnfield, MA 01940
Phone (617) 839-6767

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1205084712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BROADWAY",
            "address_2": "SUITE 301",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402349",
            "telephone_number": "978-223-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BROADWAY",
            "address_2": "SUITE 301",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402349",
            "telephone_number": "978-223-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCL COUNSELING GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "978-223-0672",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "3605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.