Active NPI
Jacqueline Jack Sleiman, LMHC
- Mental Health Counselor
- Stoughton, MA
National Provider Identifier
1790398667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 115555-MH-CC
- Practice address
- 532 Page Street
Stoughton, MA 02072 - Phone
- (781) 755-8952
- Fax
- (781) 859-4109
- NPI assigned
- Aug 28, 2020
- Last updated
- Jan 15, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 007029-1 | NY | |
| Mental Health Counselor | 101YM0800X | 115555-MH-CC | MA | Primary |
Addresses
Primary practice location
532 Page Street
Stoughton, MA 02072
Mailing address
532 Page Street
Stoughton, MA 02072
Phone (781) 755-8952
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Dedham | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115555-MH-CC | MA | MD | Mental Health Counselor |
| 007029-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1790398667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 PAGE STREET",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "02072",
"telephone_number": "781-755-8952",
"fax_number": "781-859-4109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 PAGE STREET",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "02072",
"telephone_number": "781-755-8952",
"fax_number": "781-859-4109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLEIMAN",
"first_name": "JACQUELINE",
"middle_name": "JACK",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-28",
"last_updated": "2025-01-15",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "007029-1",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "115555-MH-CC",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Dedham",
"affiliation": "N",
"endpointDescription": "Messaging via SimplePractice Portal",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Messaging via Secure Portal",
"address_1": "183 Washington St",
"city": "Dedham",
"state": "MA",
"country_code": "US",
"postal_code": "020262057",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Stoughton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.