Active NPI
Jacob Pickerill
- Mental Health Counselor
- New Albany, IN
National Provider Identifier
1427965698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39006177A
- Practice address
- 4510 Charlestown Rd.
BMB 187
New Albany, IN 47150-9362 - Phone
- (859) 550-0306
- NPI assigned
- Aug 25, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39006177A | IN | Primary |
Addresses
Primary practice location
4510 Charlestown Rd.
BMB 187
New Albany, IN 47150-9362
Mailing address
4510 Charlestown Rd.
BMB 187
New Albany, IN 47150-9362
Phone (859) 550-0306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1427965698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 CHARLESTOWN RD.",
"address_2": "BMB 187",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471509362",
"telephone_number": "859-550-0306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 CHARLESTOWN RD.",
"address_2": "BMB 187",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471509362",
"telephone_number": "859-550-0306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKERILL",
"first_name": "JACOB",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39006177A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.