Individual provider Active NPI

Jamie Gaskin, LPC

  • Counselor
  • Fayetteville, NC
National Provider Identifier
1265932149
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
10398 Issued in NC
Practice address
2729 Millbrook Rd
Fayetteville, NC 28303-5205
Phone
(910) 988-6786
NPI assigned
Feb 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 10398 NC Primary
Professional Counselor 101YP2500X 10398 NC

Addresses

Primary practice location

2729 Millbrook Rd
Fayetteville, NC 28303-5205

Mailing address

901 Arsenal Ave Ste 202
Fayetteville, NC 28305-5478
Phone (910) 988-6786

Other practice location 1

901 Arsenal Ave Ste 202
Fayetteville, NC 28305-5478
Phone (910) 988-6786

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

State licenses

LicenseStateTypeSpecialty
10398NCMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1265932149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ARSENAL AVE STE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055478",
            "telephone_number": "910-988-6786",
            "fax_number": "910-486-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 MILLBROOK RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035205",
            "telephone_number": "910-988-6786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Arsenal Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283055478",
            "country_code": "US",
            "telephone_number": "910-988-6786",
            "fax_number": "910-486-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASKIN",
        "first_name": "JAMIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "10398",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10398",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.