JACKELINE GONCALVES LICSW
NPI 1932652484
Counselor - Mental Health in Brockton, MA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jackeline Goncalves Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jackeline Goncalves reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
East Bridgewater, MA 02333
- Reassigned Medicare billing, Massachusetts enrollment
Needham, MA 02492
- Reassigned Medicare billing, Massachusetts enrollment
- 240 clinicians in this Medicare group
Stoneham, MA 02180
- Reassigned Medicare billing, Massachusetts enrollment
- 66 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organizations bill Medicare for Jackeline Goncalves's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackeline Goncalves reassigns Medicare benefits to 3 organizations: Healing Body And Mind Therapy (East Bridgewater, MA), Supportive Behavioral Care Of Ma LLC (Needham, MA) and Supportive Behavioral Care Of Mass LLC (Stoneham, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackeline Goncalves's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jackeline Goncalves accept?
Health plans from Harvard Pilgrim Health Care 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 2 months 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.
# Jackeline Goncalves, LICSW · NPI 1932652484
Mental Health provider in Brockton, Massachusetts. Individual provider, active in the CMS NPPES registry since August 2, 2016.
## Identity
- **NPI:** 1932652484 (Entity type: Individual)
- **Enumerated:** August 2, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LICSW128104 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 PEARL ST STE 1500, Brockton, MA 02301-2872
- **Phone:** (617) 789-2102
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Healing Body And Mind Therapy (NPI 1093553554, East Bridgewater, MA); Supportive Behavioral Care Of Ma LLC (NPI 1780115519, Needham, MA); Supportive Behavioral Care Of Mass LLC (NPI 1932914223, Stoneham, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1932652484) · Data from the CMS NPPES public registry.