Charles Edmund Jacques
Counselor, Mental Health in Northampton, MA. Individual provider (NPI-1).
NPI number1669920542
StatusActive
Last updated in NPPESNov 8, 2019
Details
- NPI
- 1669920542
- Entity type
- Individual (NPI-1)
- Name
- Charles Edmund Jacques
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 20, 2016
- Last updated
- Nov 8, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 11492 | MA | Yes |
Practice location
50 Pleasant StNorthampton, MA 01060-3909
Phone 413-584-6855
Mailing address
28 Gould StWare, MA 01082-1316
Phone 413-207-1526
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 211 Mental Health Counselor providers in Northampton · All 2,145 providers in Northampton
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