Jacqueline Mary Pollner, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1095 Issued in NH

Practice address

12 Middle St
Amherst, NH 03031-2950

Phone

(978) 254-1135

Fax

(833) 303-0463

NPI assigned

Jun 15, 2010

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 15, 2024 through Feb 15, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Middle Path Counseling, LLC

  • Community/Behavioral Health Agency
  • Amherst, NH
  • NPI 1508410440
  NPD Authorized official

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1538480488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MIDDLE ST",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030312950",
            "telephone_number": "978-254-1135",
            "fax_number": "833-303-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MIDDLE ST",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030312950",
            "telephone_number": "978-254-1135",
            "fax_number": "833-303-0463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Palomino Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "NH",
            "postal_code": "031106447",
            "country_code": "US",
            "telephone_number": "603-819-3816",
            "fax_number": "603-606-1032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Route 101",
            "address_2": "Unit 10",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "NH",
            "postal_code": "031105030",
            "country_code": "US",
            "telephone_number": "603-472-2846",
            "fax_number": "603-472-2872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLNER",
        "first_name": "JACQUELINE",
        "middle_name": "MARY",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "1095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rebecca Helen Pomerantz
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• R. Berke & Associates, P.a.
• Rad Dentistry

• Mental Health Counselor in Amherst, NH
• Providers in Amherst, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.