Individual provider Active NPI

Jaeda Rose, LMHC

  • Mental Health Counselor
  • Wakefield, MA
National Provider Identifier
1467181651
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC10004236 Issued in MA
Practice address
6 Eaton St
Wakefield, MA 01880-2416
Phone
(857) 492-6505
NPI assigned
Jun 6, 2022
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC10004236 MA Primary

Addresses

Primary practice location

6 Eaton St
Wakefield, MA 01880-2416

Mailing address

6 Eaton St Apt 3
Wakefield, MA 01880-2416
Phone (857) 492-6505

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20250624001188 MA Practitioner - Mental Health Counselor 0749792901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SB Transitional Sub LLCGroup PAC ID 7911315379, 70 clinicians
Child and Family Psychological Services PLLCGroup PAC ID 5991763823, 260 clinicians

Practice addresses (Care Compare)

103 Commercial St
Suite 2
Brockton, MA 02302-3133
Phone (508) 521-2200

6 Kimball LN
FL 3
Lynnfield, MA 01940-2682
Phone (781) 646-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Mental Health Center, Inc. CurrentSince Apr 19, 2025 Accepting new patients
Child and Family Psychological Services, PLLC Mental Health CurrentSince Apr 6, 2026 Accepting new patients
SB Transitional Sub, LLC CurrentSince Apr 19, 2025 Accepting new patients

Locations

607 Pleasant St
Ste 115
Attleboro, MA 02703
Phone (508) 223-4691

103 Commercial St
Ste 2
Brockton, MA 02302

6 Kimball Ln
Fl 3
Lynnfield, MA 01940

6 Kimball Ln
Ste 305
Lynnfield, MA 01940
Phone (617) 405-5735

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1467181651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EATON ST APT 3",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802416",
            "telephone_number": "857-492-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 EATON ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802416",
            "telephone_number": "857-492-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JAEDA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10004236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

Verify at the official NPI Registry.