The Jewel Professor LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE JEWEL PROFESSOR LLC

Doing business as

The Jewel Professor

Practice address

903 E Towne Lake Cir
Opelika, AL 36804-3207

Phone

(334) 444-5869

NPI assigned

Mar 29, 2023

Last updated

Mar 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffany Gibson, ALCNPI 1558065920

Title

Counselor

Phone

(334) 524-7897

Specialties & licenses 1

Addresses

Other names 1

• The Jewel Professor Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany Gibson, ALS

  • Counselor
  • Opelika, AL
  • NPI 1558065920
  NPD Authorized official

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1306540687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 E TOWNE LAKE CIR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368043207",
            "telephone_number": "334-444-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 E TOWNE LAKE CIR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368043207",
            "telephone_number": "334-444-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JEWEL PROFESSOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "334-524-7897",
        "authorized_official_credential": "ALC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Jewel Professor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Opelika, AL
• Providers in Opelika, AL by specialty
• Community/Behavioral Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.