MRS. JACQUELINE E KEMMERER LPS
NPI 1245120179
Counselor - Professional in Mesa, AZ

Active since July 03, 2025PECOS Enrolled
303 N CENTENNIAL WAY STE 200, MESA, AZ 85201(480) 262-9478 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Jacqueline E Kemmerer Lps NPPES

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

MRS. JACQUELINE E KEMMERER LPS (NPI 1245120179) is an individual professional provider in Mesa, Arizona, licensed in Arizona (LPC-23981) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1245120179
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. JACQUELINE E KEMMERERCredential: LPS
Location Address303 N CENTENNIAL WAY STE 200Mesa, AZ 85201-6711
Mailing Address904 West Jacinto Circle, Mesa, Az, UsaMesa, AZ 85210 · (480) 262-9478 · Fax (480) 262-9478
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 3, 2025
NPPES CertifiedJune 17, 2025
NPI 1245120179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AZ · LPC-23981
303 N CENTENNIAL WAY STE 200, Mesa, AZ 85201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Jacqueline E Kemmerer Lps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476021593
PECOS Enrollment IDI20260507000954
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
303 N CENTENNIAL WAY STE 200
MESA, AZ 85201
Counselor (Mental Health)
303 N CENTENNIAL WAY STE 200
MESA, AZ 85201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Kemmerer's NPI number?

The NPI number for Jacqueline Kemmerer is 1245120179. It was assigned to this individual provider in the NPPES registry on July 3, 2025.

Where is Jacqueline Kemmerer located?

Jacqueline Kemmerer practices at 303 N Centennial Way Ste 200, Mesa, AZ 85201. The listed phone number is (480) 262-9478.

What is Jacqueline Kemmerer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jacqueline Kemmerer enrolled in Medicare?

Yes. Jacqueline Kemmerer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Kemmerer was last updated on July 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.