Cheryl L Jacques, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

000761 APRN Issued in CT

Practice address

6 Ledgebrook Dr Ste C
Mansfield Center, CT 06250-1644

Phone

(860) 833-2657

Fax

(860) 200-3491

NPI assigned

Jan 19, 2007

Last updated

Jul 30, 2026By the provider in NPPES

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 CT

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Yale University School of Medicine, 1986

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Change Counseling LLCGroup PAC ID 9234564956, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Church Home of Hartford, Inc

  dba Seabury

  • Skilled Nursing Facility
  • Bloomfield, CT
  • NPI 1285690925

  Corporate Director

  CMS ownership

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.

• Change Counseling, LLC

  • Clinical Social Worker
  • Willimantic, CT
  • NPI 1780141465
  Medicare reassignment Care Compare group NPD
• Lori L. Fritts, MD, LLC

  • Surgery Physician
  • Bloomfield, CT
  • NPI 1891970588
  NPD (past)
• State of Connecticut

  dba Department of Veterans' Affairs, Veterans Home

  • Skilled Nursing Facility
  • Rocky Hill, CT
  • NPI 1205951662
  NPD (past)
• State of Connecticut

  dba Southeastern Mental Health Authority

  • Adult Mental Health Clinic/Center
  • Norwich, CT
  • NPI 1902831548
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1700939998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 HOPEWELL RD",
            "city": "SOUTH GLASTONBURY",
            "state": "CT",
            "postal_code": "060732441",
            "telephone_number": "860-918-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LEDGEBROOK DR STE C",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501644",
            "telephone_number": "860-833-2657",
            "fax_number": "860-200-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "CHERYL",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "000761 APRN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wioletta Hryszan, PMHNP-BC
• Samantha Brooke Hugh, LPC
• Angela Hutchins, LMSW
• Joseph Buck Jabaily, DO
• Stephanie Joy Jacobs
• David A Jaworski, M.D.
• Thamara Vanessa Jonathas, APRN
• Amanda Jones
• Gary Paul Kanabay, PSY.D.
• Jacqueline Vaccari Keating

• Nurse Practitioner in Mansfield Center, CT
• Providers in Mansfield Center, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.