Individual provider Active NPI

Jennique A Robinson, ALC

  • Counselor
  • Cullman, AL
National Provider Identifier
1396409132
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C3085A Issued in AL
Practice address
198 US Highway 278 E
Cullman, AL 35055-0690
Phone
(888) 355-7080
NPI assigned
Oct 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C3085A AL Primary

Addresses

Primary practice location

198 US Highway 278 E
Cullman, AL 35055-0690

Mailing address

115 11TH Ave NW
Decatur, AL 35601-2009
Phone (256) 654-1893

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennique.robinson@ybrcounseling.com Direct

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
C3085AALMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Robinson Counseling & Consulting, LLC CurrentSince Oct 23, 2022 Accepting new patients
Yellow Brick Road Counseling, LLC CurrentSince Oct 31, 2021 Accepting new patients

Locations

198 US Highway 278 E
Cullman, AL 35055
Phone (888) 355-7080

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1396409132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 11TH AVE NW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012009",
            "telephone_number": "256-654-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 US HIGHWAY 278 E",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350550690",
            "telephone_number": "888-355-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JENNIQUE",
        "middle_name": "A",
        "credential": "ALC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "C3085A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennique.robinson@ybrcounseling.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "198 US Highway 278 E",
            "city": "Cullman",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350550690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.