Jackie Devine Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

JACKIE DEVINE COUNSELING LLC

Practice address

4000 Southlake Park
Suite 150
Hoover, AL 35244-3348

Phone

(205) 876-5721

NPI assigned

Jul 9, 2022

Last updated

Jul 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline Moore Devine, LPC, NCCNPI 1366608408

Title

Owner

Phone

(205) 876-5721

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Moore Devine, LPC

  • Professional Counselor
  • Helena, AL
  • NPI 1366608408
  NPD Authorized official

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

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657324800000",
    "number": "1447984182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4057 S SHADES CREST ROAD",
            "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": "4000 SOUTHLAKE PARK",
            "address_2": "SUITE 150",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443348",
            "telephone_number": "205-876-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE DEVINE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-09",
        "last_updated": "2022-07-09",
        "certification_date": "2022-07-09",
        "status": "A",
        "authorized_official_last_name": "DEVINE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MOORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-876-5721",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA  BOARD OF EXAMINERS IN COUNSELING",
            "identifier": "2941",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivy Leaf Health & Wellness LLC
• Amanda Ivy, ALC
• J. Christopher Davis, PLLC
• J.a. P Senior Services LLC
• Jack D Denver MD PC
• Briana Jackson, RBT
• Christopher Ryan Jackson, ALC, MA, NCC
• Heather Aline Jackson
• James Arthur Jackson, PHARMD
• Pamela Jackson, PHD, RN

• Professional Counselor in Hoover, AL
• Providers in Hoover, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2022; 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.