Active NPI
Janet E. Jackson, M.ED., SLPC
- Mental Health Counselor
- Montgomery, AL
National Provider Identifier
1124015284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- #1661/SLPC#448
- Practice address
- 321 N. Hull St.
'Old Alabama Town'
Montgomery, AL 36104 - Phone
- (334) 262-1434
- Fax
- (334) 262-1435
- NPI assigned
- Oct 4, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1661 | AL | |
| Mental Health Counselor | 101YM0800X | #1661/SLPC#448 | AL | Primary |
| Mental Health Counselor | 101YM0800X | #1661;#448 | AL |
Addresses
Primary practice location
321 N. Hull St.
'Old Alabama Town'
Montgomery, AL 36104
Mailing address
321 N. Hull St.
'Old Alabama Town'
Montgomery, AL 36104
Phone (334) 269-4156
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-09617 | Other | BLUE CROSS FED'L | |
| 051512316 | Other | AL | BLUE CROSS |
Other names 1
- Janet Elizabeth Graves
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)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1661 | AL | MD | Counselor |
| #1661/SLPC#448 | AL | MD | Mental Health Counselor |
| #1661;#448 | AL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1124015284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 N. HULL ST.",
"address_2": "'OLD ALABAMA TOWN'",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36104",
"telephone_number": "334-269-4156",
"fax_number": "334-269-4157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N. HULL ST.",
"address_2": "'OLD ALABAMA TOWN'",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36104",
"telephone_number": "334-262-1434",
"fax_number": "334-262-1435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "JANET",
"middle_name": "E.",
"credential": "M.ED., SLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-04",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "1661",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "#1661/SLPC#448",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "#1661;#448",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS FED'L",
"identifier": "515-09617",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051512316",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANET",
"last_name": "GRAVES",
"middle_name": "ELIZABETH",
"credential": "MED SLPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.