Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACKELINE GONCALVES LICSW
NPI 1932652484
Counselor - Mental Health in Brockton, MA

Active since August 02, 2016PECOS Enrolled
1 PEARL ST STE 1500, BROCKTON, MA 02301(617) 789-2102 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 11, 2026, Aug 5, 2026, May 15, 2026 and 1 more (4 updates tracked since 2024).

About Jackeline Goncalves Licsw NPPES

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

JACKELINE GONCALVES LICSW (NPI 1932652484) is an individual mental health provider in Brockton, Massachusetts, licensed in Massachusetts (LICSW128104) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1932652484
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACKELINE GONCALVESCredential: LICSW
Location Address1 PEARL ST STE 1500Brockton, MA 02301-2872
Mailing Address960 Massachusetts Ave Ste 2Boston, MA 02118-2690
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 2, 2016
Last NPPES UpdateAugust 11, 20264 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
NPI 1932652484 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 · LICSW128104
1 PEARL ST STE 1500, Brockton, MA 02301

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jackeline Goncalves Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284107426
PECOS Enrollment IDI20260629001241
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.

Internal Medicine (Infectious Disease)
1 PEARL ST STE 1500
BROCKTON, MA 02301
Anesthesiology (Critical Care Medicine)
1 PEARL ST STE 1500
BROCKTON, MA 02301

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 Jackeline Goncalves's NPI number?

The NPI number for Jackeline Goncalves is 1932652484. It was assigned to this individual provider in the NPPES registry on August 2, 2016.

Where is Jackeline Goncalves located?

Jackeline Goncalves practices at 1 Pearl St Ste 1500, Brockton, MA 02301. The listed phone number is (617) 789-2102.

What is Jackeline Goncalves's specialty?

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

Is Jackeline Goncalves enrolled in Medicare?

Yes. Jackeline Goncalves is registered in the Medicare PECOS enrollment system.

What insurance does Jackeline Goncalves accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Jackeline Goncalves 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 Jackeline Goncalves was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.