Active NPI
Carmichah Jean, M.A., LMHC
- Professional Counselor
- Brockton, MA
National Provider Identifier
1518519248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 110 Mulberry St
Brockton, MA 02302-2066 - Phone
- (774) 776-3633
- Fax
- (508) 427-1588
- NPI assigned
- Jul 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
110 Mulberry St
Brockton, MA 02302-2066
Mailing address
110 Mulberry St
Brockton, MA 02302-2066
Phone (774) 776-3633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1518519248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 MULBERRY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023022066",
"telephone_number": "774-776-3633",
"fax_number": "508-427-1588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 MULBERRY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023022066",
"telephone_number": "774-776-3633",
"fax_number": "508-427-1588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN",
"first_name": "CARMICHAH",
"name_prefix": "Ms.",
"credential": "M.A., LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-12",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.