Giselle Amaris Jacob, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1244 Clairmont Rd Ste 204
Decatur, GA 30030-1263

Phone

(404) 818-6535

NPI assigned

May 28, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1003482100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 13TH ST NE APT 107",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 CLAIRMONT RD STE 204",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301263",
            "telephone_number": "404-818-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "GISELLE",
        "middle_name": "AMARIS",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Jackson Jr.
• Tatia Patrice Jackson, PHD
• Teresa Danielle Jackson, D.C.
• Tristin Jackson
• Brittany Whitlock Jacob, MD
• Emily Jacobs
• Tiffany S. Jacobs, MA, LPC
• Vicki Tindel Jacobs, RN
• David H Jacobson, M.D.
• Julie L Jacobson, PA-C, MMSC

• Mental Health Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.