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

Mrs. Jacqueline E Kemmerer, LPS

Individual provider Professional Counselor · NPI 1245120179

Mrs. Jacqueline E Kemmerer, LPS is a Mental Health Counselor in Mesa, Arizona. Qualified in 2021, 5 years ago. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2025
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Practice location Address checks out

303 N Centennial Way Ste 200
Mesa, AZ 85201-6711
Phone: (480) 262-9478
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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 LPC-23981 (AZ)

Record details

NPI number1245120179
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPS
Sole proprietorNo
NPI enumeratedJuly 3, 2025
Last updated in NPPESJuly 3, 2025
Certification dateJune 17, 2025

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)
Accepts Medicare assignment Not indicated

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