Jamie Lauren McGillis, ACSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1620 Cummins Dr
Modesto, CA 95358

Phone

(209) 576-1750

NPI assigned

May 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jamie Lauren George Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1407347248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 CUMMINS DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953586400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 CUMMINS DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95358",
            "telephone_number": "209-576-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILLIS",
        "first_name": "JAMIE",
        "middle_name": "LAUREN",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "GEORGE",
            "middle_name": "LAUREN",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Teresa McDowell, MA, PPS
• Cameron McElroy
• Rosemary McFadden, LMFT 44372
• Jordan Tyler McGee-McDowell
• Avione McGhee
• Marla J McGregor, RD
• Paul G. McGrew, M.D.
• Robert M. McGrew, M.D.
• Malerie McGuffin
• McHenry Medical Group Inc

• Professional Counselor in Modesto, CA
• Providers in Modesto, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.