Jacqueline Gamble, LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

8540 Baycenter Rd
Jacksonville, FL 32256-7420

Phone

(904) 448-1933

NPI assigned

Oct 5, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, GA2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grow Healthcare Group PA 1,045 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  FL, GA

  Medicare reassignment Care Compare group NPD
• Ahavah Counseling, LLC

  • Mental Health Counselor
  • Orange Park, FL
  • NPI 1396526257
  NPD Authorized official
• Jewish Family and Community Services

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1861264418
  NPD
• The LJD Jewish Family & Community Services, Inc

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1538255088
  NPD

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1407453293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 BAYCENTER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567420",
            "telephone_number": "904-448-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 BAYCENTER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567420",
            "telephone_number": "904-448-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jfcsjax.org",
            "affiliation": "N",
            "address_1": "8540 Baycenter Rd",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322567420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erin Elizabeth Galya, CRNA
• Carlos H. Gama, MD
• Jorge L Gamba, MD
• Emma K Gambill
• Alisha Janae Gamble, LMHC
• Kenneth Gamble, CRNA
• Selyncia Apri Gamble
• Angie Lourdes Gamboa Caldera
• Gwen Gamboa
• Richard Gamiz, PA-C

• All providers in Jacksonville, FL
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.