Jesse Gill

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105021 Issued in TX

Practice address

13612 Midway Rd Ste 605
Farmers Branch, TX 75244-4324

Phone

(214) 530-0021

Fax

(214) 530-0021

NPI assigned

Jul 16, 2020

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Institute for Contemporary Psychotherapy

  • Clinic/Center
  • New York, NY
  • NPI 1639221476
  NPD (past)

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1336757335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 N CENTRAL EXPY STE 1625",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061806",
            "telephone_number": "214-530-0021",
            "fax_number": "214-530-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13612 MIDWAY RD STE 605",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752444324",
            "telephone_number": "214-530-0021",
            "fax_number": "214-530-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "JESSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-16",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Mobile Logistics Inc
• Genesis Mobile Logistics Inc
• Gentox Lab Services LLC
• John Evan Giles, DC
• Brianna Giletto, DPT
• Briauna Gillespie
• Tonya Gilliam
• Anthony Eric Gioia, M.D.
• Christa Michelle Goff, FNP-C
• Julie Goff

• Clinical Social Worker in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.