Jacqueline Baxley, MS, LPC, ACS
NPI 1558485045ActiveIndividual· Counselor, Professional· Elizabeth, NJ
Counselor, Professional (MS, LPC, ACS) in Elizabeth, New Jersey, licensed in NJ, with an NPI issued in March 2007. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1558485045 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, LPC, ACS |
| Sole proprietor | No |
| NPI issued | Mar 19, 2007 |
| Last updated in NPPES | Nov 11, 2024 |
| Certified by provider | Nov 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 37PC0040200 | NJ |
| Counselor, Mental Health | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (NC) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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