Jacqueline M Devine LPC LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2941 Issued in AL

Legal business name

JACQUELINE M DEVINE LPC LLC

Practice address

1109 Townhouse Rd
Helena, AL 35080-4012

Phone

(205) 200-7137

Fax

(205) 621-8680

NPI assigned

Jul 16, 2015

Last updated

Jul 16, 2015By 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, LPCNPI 1366608408

Title

Therapist/Owner

Phone

(205) 876-5721

Specialties & licenses 1

Addresses

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 (past) Authorized official

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1467836700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4057 S SHADES CREST RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352446727",
            "telephone_number": "205-200-7137",
            "fax_number": "205-621-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 TOWNHOUSE RD",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "350804012",
            "telephone_number": "205-200-7137",
            "fax_number": "205-621-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE M DEVINE LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "DEVINE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MOORE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "205-876-5721",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Helena, AL
• Providers in Helena, 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 16, 2015; 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.