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

Jacqueline Surdan, LMHC

Individual provider Mental Health Counselor · NPI 1902432396

Jacqueline Surdan, LMHC is a Mental Health Counselor in Waltham, Massachusetts. Qualified in 2021, 5 years ago. Practices with Center Psychotherapy LLC, a 5-clinician group and offers telehealth. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
In the registry since
2020
Specialties on file
2
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

409 Lexington St
Waltham, MA 02452-0933
Phone: (781) 647-9976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LMHC10002078 (MA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1902432396
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC
Sole proprietorNo
NPI enumeratedMarch 17, 2020
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Center Psychotherapy Llc — 5 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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