Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaclyn Vause Berry, LCMHC

Individual provider Mental Health Counselor · NPI 1942581210

Jaclyn Vause Berry, LCMHC is a Mental Health Counselor in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011

Practice location Address checks out

3541 Randolph Rd Ste 210
Charlotte, NC 28211-1082
Phone: (704) 381-8336
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 11117 (NC)

Record details

NPI number1942581210
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC
Sole proprietorNo
NPI enumeratedAugust 31, 2011
Last updated in NPPESJuly 15, 2024
Certification dateFebruary 16, 2023

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