Individual provider Active NPI

Jennifer Garrison, LPC

  • Mental Health Counselor
  • Gardendale, AL
National Provider Identifier
1275923138
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1501 Decatur Hwy
Gardendale, AL 35071-3857
Phone
(205) 644-1166
NPI assigned
Jan 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1501 Decatur Hwy
Gardendale, AL 35071-3857

Mailing address

1501 Decatur Hwy
Gardendale, AL 35071-3857
Phone (256) 841-9700

Other practice location 1

1909 Commerce Ave
Cullman, AL 35055-6151
Phone (256) 734-4468

Other practice location 2

1619 Alabama Ave
Jasper, AL 35501-4719
Phone (205) 387-8324

Other identifiers 1

IdentifierTypeStateIssuer
330000025MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241212001901 AL Practitioner - Mental Health Counselor 8224564307 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Clinic, LLC CurrentSince Nov 1, 2024 Accepting new patients
Smart Care, LLC CurrentSince Nov 1, 2024 Accepting new patients
Integrative Health Services, LLC PastSince Feb 11, 2024 Accepting new patients

Locations

1508 Cogswell Ave
Pell City, AL 35125
Phone (205) 814-1598

801 North St E
Talladega, AL 35160
Phone (256) 362-3005

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1275923138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 DECATUR HWY",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350713857",
            "telephone_number": "256-841-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 DECATUR HWY",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350713857",
            "telephone_number": "205-644-1166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1909 Commerce Ave",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350556151",
            "country_code": "US",
            "telephone_number": "256-734-4468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1619 Alabama Ave",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "AL",
            "postal_code": "355014719",
            "country_code": "US",
            "telephone_number": "205-387-8324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330000025",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

Verify at the official NPI Registry.