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

Jacqueline Kelly-Faddler, MS, LPCC

Individual provider Professional Counselor · NPI 1881020527

Jacqueline Kelly-Faddler, MS, LPCC is a Mental Health Counselor in Princeton, Minnesota. Qualified in 2012, 14 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
14
Licensed in
MN
In the registry since
2013
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

501 4th St S Ste 201
Princeton, MN 55371-4754
Phone: (763) 498-1822
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 842 (MN)

Record details

NPI number1881020527
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LPCC
Sole proprietorYes
NPI enumeratedSeptember 25, 2013
Last updated in NPPESMay 2, 2022
Certification dateJanuary 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated

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