Patricia Jacobellis, LCMHC
Individual provider Active NPI Mental Health Counselor · Salem, NH
NPI 1720122526 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720122526
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 517 (NH)
- Practice address
- 130 Main St
Suite 203B
Salem, NH 03079-3176 - Phone
- (603) 681-0022
- Fax
- (603) 681-0567
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 517 | NH | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 517 | NH | Yes |
Addresses
Primary practice location
130 Main St
Suite 203B
Salem, NH 03079-3176
Mailing address
130 Main Street
Suite 203B
Salem, NH 03079
Phone (603) 681-0022
Other providers in Salem, NH
- Stacey Irek
- Kaitlyn Irwin
- Christian E Iyore
- Ninah Izbicki
- J & K Staffing Solutions, LLC
- Danielle Lapointe Jacobs
- Victoria Jacques
- Renee Jean Jaime
- Spencer Rose Jalbert
- James M Ferraiolo DMD LLC
All providers in Salem, NH · Mental Health Counselor in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.