Individual provider Active NPI

Jacqueline Moore Devine, LPC

  • Professional Counselor
  • Helena, AL
National Provider Identifier
1366608408
Registry record updated Mar 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2941 Issued in AL
Practice address
1109 Townhouse Rd
Helena, AL 35080-4012
Phone
(205) 200-7137
NPI assigned
Jul 29, 2008
Last updated
Mar 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2941 AL Primary

Addresses

Primary practice location

1109 Townhouse Rd
Helena, AL 35080-4012

Mailing address

4057 S Shades Crest Rd
Hoover, AL 35244-6727
Phone (205) 876-5721

Other names 1

  • Mrs. Jackie M Devine Other name

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
2941ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jackie Devine Counseling LLC Professional CurrentSince Jul 17, 2022 Accepting new patients
Jacqueline M Devine LPC LLC Professional Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426377600000",
    "number": "1366608408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4057 S SHADES CREST RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352446727",
            "telephone_number": "205-876-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 TOWNHOUSE RD",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "350804012",
            "telephone_number": "205-200-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "JACQUELINE",
        "middle_name": "MOORE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2015-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "DEVINE",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Helena, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2015; 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.