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Jacquelyn Nelson , MSC

Counselor - Professional β€’ Mesa, AZ

Active NPI 1386183135 Individual Practitioner Female Practitioner
Practice location in NPPES

1845 S Dobson Rd, Suite 207
Mesa, AZ 852025661

Call 4803165462 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1845 S Dobson Rd
Suite 207

Mesa, AZ 852025661

Telephone 4803165462
Organization at the Same NPPES Address or Phone
Lakeshore Counseling Llc Facility NPI 1851439905

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Mesa and Arizona

247 active clinicians are listed under Counselor - Professional with a practice address in Mesa, AZ (3,010 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mesa

4.5% of these 247 clinicians have the CMS telehealth indicator.

15% of these 247 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-01-30
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES AZ LPC-16033
Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES ID LCPC-7532
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1215488028

NMD, Doctor of Naturopathic Medicine

Dr. Daniel Schulte , PhD

Psychologist - Clinical

NPI 1043254782

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address January 30, 2020

Registered at 202 N 9TH ST STE 401C, BOISE, ID 837025770 (Tel: 4803165462)

πŸ‘€
Provider Name / Credentials Updated January 30, 2020

Recorded as JACQUELYN NELSON, M.S.C

βœ…
NPI Profile Active February 13, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 13, 2017

Registered at 1845 S DOBSON RD, SUITE 207, MESA, AZ 852025661 (Tel: 4803165462)

πŸ“
Business Mailing Address (Initial Record) February 13, 2017

Registered at 1845 S DOBSON RD, SUITE 207, MESA, AZ 852025661 (Tel: 4803165462)

πŸ‘€
Provider Name / Credentials (Initial Record) February 13, 2017

Recorded as JACQUELYN LEGER, M.S.C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2017

Counselor (license number reported to NPPES: AZ LPC-16033)

🟒
Initial NPI Registration & Enumeration February 13, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1386183135
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2017
Last Update: January 30, 2020
Sole Proprietor: Yes

Other Counselor - Professionals in Mesa

Healthcare providers in Mesa

Mailing Address

202 N 9th St Ste 401c

Boise, ID 837025770

Phone: 4803165462

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.