Individual provider Active NPI

Jessica Baxley Strickland, LMFT

  • Marriage & Family Therapist
  • Dothan, AL
National Provider Identifier
1003339052
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T0497A Issued in MS
Practice address
3542 Montgomery Hwy
Dothan, AL 36303-2165
Phone
(334) 712-2720
Fax
(334) 712-2727
NPI assigned
Jul 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T0497A MS Primary

Addresses

Primary practice location

3542 Montgomery Hwy
Dothan, AL 36303-2165

Mailing address

PO Box 1245
Dothan, AL 36302-1245
Phone (334) 712-2720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T0497AMSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spectracare Integrated Services LLC CurrentSince Jan 1, 2024 Accepting new patients
Region 12 Commission on Mental Health and Retardation Past Accepting new patients

Locations

219 Dothan Rd
Abbeville, AL 36310
Phone (334) 585-5331

440 Honeysuckle Rd
Dothan, AL 36305
Phone (334) 673-2143

3542 Montgomery Hwy
Dothan, AL 36303
Phone (334) 712-2720

1672 Columbia Hwy
Dothan, AL 36303
Phone (334) 712-2671

133 N Orange Ave
Eufaula, AL 36027

1203 W Maple Ave
Geneva, AL 36340
Phone (334) 805-1395

134 Katherine Ave
Ozark, AL 36360
Phone (334) 774-5146

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/spectracare/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1003339052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1245",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363021245",
            "telephone_number": "334-712-2720",
            "fax_number": "334-712-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3542 MONTGOMERY HWY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032165",
            "telephone_number": "334-712-2720",
            "fax_number": "334-712-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "JESSICA",
        "middle_name": "BAXLEY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MS",
            "license": "T0497A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.