Jacleen Charbonneau

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11740 Issued in MA

Practice address

246 Main St
Walpole, MA 02081-4068

Phone

(508) 864-0323

NPI assigned

Jul 18, 2015

Sex

Female

Sole proprietor

Yes

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 Apr 20, 2026 through Apr 20, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Bconnected Counseling LLC

  • Mental Health Counselor
  • Walpole, MA
  • NPI 1225752694
  NPD Authorized official

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581120000000",
    "number": "1821472952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 INSTITUTE RD",
            "city": "NORTH GRAFTON",
            "state": "MA",
            "postal_code": "015361839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 MAIN ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020814068",
            "telephone_number": "508-864-0323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Institute Rd",
            "address_purpose": "LOCATION",
            "city": "North Grafton",
            "state": "MA",
            "postal_code": "015361839",
            "country_code": "US",
            "telephone_number": "508-839-8679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARBONNEAU",
        "first_name": "JACLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-18",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "11740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gisela Casillas
• Andrew Castro
• Cristina J. Cataldo, M.D.
• Theodora E Cawley, LICSW
• Teresa Malone Celeste, LMHC
• Charles S. Chen, MD, PC
• Gail Elizabeth Checkoway, R.N
• Emanuel S Chris, M.D.
• Lauren E Christian, MA
• Circle Medical Team LLC

• Mental Health Counselor in Walpole, MA
• Providers in Walpole, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2020; 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.