1. Home
  2. Directory
  3. New York
  4. Syracuse
  5. Marriage Family Therapist
  6. NPI Profile

JACQUELINE R KEUCHLER
NPI 1619569357
Marriage & Family Therapist in Syracuse, NY

Active since February 04, 2021PECOS Enrolled
4900 BROAD RD STE 4K, SYRACUSE, NY 13215(617) 913-5922 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2021, Feb 4, 2021 (2 updates tracked since 2021).

About Jacqueline R Keuchler NPPES

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

JACQUELINE R KEUCHLER (NPI 1619569357) is an individual marriage & family therapist in Syracuse, New York, licensed in New York (1619569357) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619569357
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJACQUELINE R KEUCHLER
Location Address4900 BROAD RD STE 4KSyracuse, NY 13215-2265
Mailing Address4900 Broad Rd Ste 4kSyracuse, NY 13215-2265 · (315) 492-5784 · Fax (315) 492-5782
Phone(617) 913-5922
Sole ProprietorNo
Enumeration DateFebruary 4, 2021
Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
✔ NPI 1619569357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in NY · 1619569357✔ Licensed in NY · P108016
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4900 BROAD RD STE 4K, Syracuse, NY 13215
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline R Keuchler 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.

Other Providers at the Same Location NPPES

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

JENNIFER O'SULLIVAN PA
Physician Assistant
4900 BROAD RD STE 4K
SYRACUSE, NY 13215
Onondaga County (315) 492-5784

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 Keuchler's NPI number?

The NPI number for Jacqueline Keuchler is 1619569357. It was assigned to this individual provider in the NPPES registry on February 4, 2021.

Where is Jacqueline Keuchler located?

Jacqueline Keuchler practices at 4900 Broad Rd Ste 4K, Syracuse, NY 13215. The listed phone number is (617) 913-5922.

What is Jacqueline Keuchler's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jacqueline Keuchler enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacqueline Keuchler was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.