Matthew Jaeckel, LCSW is a
Counselor - Mental Health based in Boulder, Colorado. Matthew Jaeckel is licensed to practice in Colorado (license number 1066) and his current practice location is
1333 Iris Ave, Boulder, Colorado. He can be reached at his office (for appointments etc.) via phone at
(303) 443-8500.
NPI number for Matthew Jaeckel is 1649420993 and his current mailing address is 1333 Iris Ave, Boulder, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649420993.
Healthcare Provider's Profile
Full Name | Matthew Jaeckel |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 1333 Iris Ave, Boulder, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649420993
- Provider Enumeration Date: 09/23/2008
- Last Update Date: 08/13/2012
Medical Identifiers
Medical identifiers for Matthew Jaeckel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649420993 | NPI | - | NPPES |
42653355 | Medicaid | CO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 1066 (Colorado) | Secondary |
101YM0800X | Counselor - Mental Health | 1066 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Matthew Jaeckel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Matthew Jaeckel, LCSW 1333 Iris Ave, Boulder, CO 80304-2226 Ph: () - | Matthew Jaeckel, LCSW 1333 Iris Ave, Boulder, CO 80304-2226 Ph: (303) 443-8500 |
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