JACLEEN CHARBONNEAU
NPI 1821472952
Counselor - Mental Health in Walpole, MA

Active since July 18, 2015Opted out of Medicare · through Apr 20, 2028
246 MAIN ST, WALPOLE, MA 02081(508) 864-0323 Get Directions Write a Review

NPPES record last updated: February 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacleen Charbonneau NPPES

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

JACLEEN CHARBONNEAU (NPI 1821472952) is an individual mental health provider in Walpole, Massachusetts, licensed in Massachusetts (11740) and active in the NPI registry since July 2015. She has opted out of Medicare through April 20, 2028 and maintains a secondary practice location in North Grafton.

NPPES Registry Identity

NPI1821472952
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACLEEN CHARBONNEAU
Location Address246 MAIN STWalpole, MA 02081-4068
Mailing Address34 Institute RdNorth Grafton, MA 01536-1839
Sole ProprietorYes
Enumeration DateJuly 18, 2015
Last NPPES UpdateFebruary 8, 2020
NPI 1821472952 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 · 11740
246 MAIN ST, Walpole, MA 02081

Secondary Practice Location 1

Location 134 Institute RdNorth Grafton, MA 01536-1839 · Phone (508) 839-8679

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jacleen Charbonneau has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 20, 2026 through April 20, 2028.

Opt-Out Effective DateApril 20, 2026
Opt-Out In Effect ThroughApril 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Jacleen Charbonneau's NPI number?

The NPI number for Jacleen Charbonneau is 1821472952. It was assigned to this individual provider in the NPPES registry on July 18, 2015.

Where is Jacleen Charbonneau located?

Jacleen Charbonneau practices at 246 Main St, Walpole, MA 02081. The listed phone number is (508) 864-0323.

What is Jacleen Charbonneau's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jacleen Charbonneau enrolled in Medicare?

No. Jacleen Charbonneau has opted out of Medicare through April 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jacleen Charbonneau accept?

Health plans from Anthem Blue Cross and Blue Shield list Jacleen Charbonneau as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacleen Charbonneau was last updated on February 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.