MEDICARE: CLARA ELIZABETH KJELSBERG MA, LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1376235721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARA ELIZABETH KJELSBERG MA, LMHC

Provider Business Mailing Address
First Line	:	255 HIGHLAND AVE
Second Line	:
City	:	NEEDHAM
State	:	MA
Zip	:	02494-3023
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 HIGHLAND AVE
Second Line	:
City	:	NEEDHAM
State	:	MA
Zip	:	02494-3023
Country	:	US
Telephone Number	:	781-850-6992
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2023
Last Update Date	:	12/18/2025

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