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

Mrs. Jacqueline Andrea Thompson, PCCMEDCCDCI

Individual provider Mental Health Counselor · NPI 1013974203

Mrs. Jacqueline Andrea Thompson, PCCMEDCCDCI is a Mental Health Counselor in Middletown, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2006

Practice location Address checks out

78 N Breiel Blvd
Middletown, OH 45042-3804
Phone: (513) 424-2300
Fax: (513) 424-2300
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 E0003614 (OH)

Record details

NPI number1013974203
Entity typeIndividual (Type 1)
GenderFemale
Credentials PCCMEDCCDCI
Sole proprietorYes
NPI enumeratedMay 1, 2006
Last updated in NPPESJune 9, 2020
Certification dateJune 9, 2020

Other providers in Middletown