Jayna Madeleine Gillespie, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008578 Issued in VA

Practice address

3807 Brandon Ave SW Ste 1115
Roanoke, VA 24018-1490

Phone

(540) 342-1261

NPI assigned

Aug 19, 2019

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Integrated Self Counseling & Supervision, PLLC

  • Community/Behavioral Health Agency
  • Blacksburg, VA
  • NPI 1386421832
  NPD

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1235786997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 TRILLIUM LN",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240609096",
            "telephone_number": "540-797-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 BRANDON AVE SW STE 1115",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240181490",
            "telephone_number": "540-342-1261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 Cambria St NE Ste 110",
            "address_purpose": "LOCATION",
            "city": "Christiansburg",
            "state": "VA",
            "postal_code": "240731631",
            "country_code": "US",
            "telephone_number": "540-797-1110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Rex Ln",
            "address_purpose": "LOCATION",
            "city": "Galax",
            "state": "VA",
            "postal_code": "243332939",
            "country_code": "US",
            "telephone_number": "276-601-2904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "JAYNA",
        "middle_name": "MADELEINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Gilbert, CRNA
• Gill Memorial ENT Clinic, PC
• Katherine Julie Gill, NP
• Jacob R Gillen, MD
• Amanda Lynn Gillespie-Twardy, M.D.
• Daphne Gilliam, BCABA
• Sara N Gillis, CPNP
• Jessica Spencer Gillispie, PA-C
• James Winston Gills, PA-C
• Amanda Dawn Gillum, PHARMD

• Professional Counselor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.