Jacqueline E Kemmerer, LPS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-23981 Issued in AZ

Practice address

303 N Centennial Way Ste 200
Mesa, AZ 85201-6711

Phone

(480) 262-9478

NPI assigned

Jul 3, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Archways Recovery Centers, LLC

  dba Choice Recovery Centers

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mesa, AZ
  • NPI 1861853756
  Medicare reassignment NPD (past)
• Archways Recovery Centers, LLC

  dba Choice Integrated Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Phoenix, AZ
  • NPI 1922862457
  NPD (past)
• Choice Integrated Health

  • Integrative Medicine Physician
  • Phoenix, AZ
  • NPI 1164103206
  NPD (past)

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1245120179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 WEST JACINTO CIRCLE, MESA, AZ, USA",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "480-262-9478",
            "fax_number": "480-262-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N CENTENNIAL WAY STE 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016711",
            "telephone_number": "480-262-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMMERER",
        "first_name": "JACQUELINE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-23981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Kelso, DPT
• Karlee Kelso
• Theresa Kelso, NURSE PRACTITIONER
• Glenn E. Kelty, D.D.S.
• Julie R Kelty, PHARM D
• Sheri Lee Kempke, PT
• Kempton & Nelson Diagnostics LLC
• Kempton & Nelson Diagnostics LLC
• Kempton Physical Therapy & Sports Medicine
• Danielle Lynn Kempton, PAC

• Professional Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.