Jacqueline I Ackley, MHRT-CSP
Individual provider Active NPI Mental Health Counselor · Machias, ME
NPI 1346535705 · NPPES record last updated Jun 14, 2011
Key facts
- NPI
- 1346535705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1 Stackpole Dr
Machias, ME 04654-7000 - Phone
- (207) 255-0996
- Fax
- (207) 255-8748
- NPI assigned
- Jun 14, 2011
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1 Stackpole Dr
Machias, ME 04654-7000
Mailing address
1 Stackpole Dr
Machias, ME 04654-7000
Phone (207) 255-0996
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103850000 | Medicaid | ME |
Other providers in Machias, ME
All providers in Machias, ME · Mental Health Counselor in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2011. 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.