Active NPI
Jasmine M Jackson, ALC
- Counselor
- Scottsboro, AL
National Provider Identifier
1154925857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- Scottsboro Professional Counseling
605 E Laurel St
Scottsboro, AL 35768 - Phone
- (256) 999-0727
- Fax
- (256) 999-0729
- NPI assigned
- Nov 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | AL | Primary |
Addresses
Primary practice location
Scottsboro Professional Counseling
605 E Laurel St
Scottsboro, AL 35768
Mailing address
6251 Rime Village Dr Apt 207
Huntsville, AL 35806
Phone (314) 303-5940
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing and Growth Counseling LLC | Current | Accepting new patients | |
| Scottsboro Professional Counseling LLC | Counselor | Past | Accepting new patients |
Locations
605 E Laurel St
Scottsboro, AL 35768
Phone (256) 999-0727
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.
-
- Mental Health Counselor
- Scottsboro, AL
- NPI 1144863648
-
- Counselor
- Scottsboro, AL
- NPI 1043707227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1154925857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6251 RIME VILLAGE DR APT 207",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "35806",
"telephone_number": "314-303-5940",
"fax_number": "256-999-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SCOTTSBORO PROFESSIONAL COUNSELING",
"address_2": "605 E LAUREL ST",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "35768",
"telephone_number": "256-999-0727",
"fax_number": "256-999-0729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "JASMINE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "ALC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsboro, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.