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

Individual provider Mental Health Counselor · NPI 1093475477

Jacqueline Patricia Niccolai, LPC is a Mental Health Counselor in Kenosha, Wisconsin. Practices as a sole proprietor. Licensed in Florida, Vermont and Wisconsin.

Licensed in
FL, VT, WI
In the registry since
2021
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

7919 48th Ave Ste 200
Kenosha, WI 53142-2023
Phone: (414) 622-0157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 10474-125 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence TPMC6693 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence 068.0136820TELE (VT)

Record details

NPI number1093475477
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedDecember 27, 2021
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

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