JACKI M BOSWELL LMHC
NPI 1023340072
Counselor - Mental Health in Brockton, MA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since February 02, 2010PECOS Enrolled

165 QUINCY ST, BROCKTON, MA 02302(508) 897-2088(508) 987-2135 Get Directions Write a Review

NPPES record last updated: February 2, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jacki M Boswell Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKI M BOSWELL LMHC (NPI 1023340072) is an individual mental health provider in Brockton, Massachusetts, licensed in Massachusetts (5205) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023340072

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJACKI M BOSWELLCredential: LMHC

Location Address165 QUINCY STBrockton, MA 02302-2988

Mailing Address165 Quincy StBrockton, MA 02302-2988 · (508) 897-2088 · Fax (508) 987-2135

Phone(508) 897-2088

Fax(508) 987-2135

Sole ProprietorYes

Enumeration DateFebruary 2, 2010

✔ NPI 1023340072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MA · 5205

165 QUINCY ST, Brockton, MA 02302

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacki M Boswell Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.