Individual provider Active NPI

Gail James, PHD.

  • Pastoral Counselor
  • Jacksonville, FL
National Provider Identifier
1508395039
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
JG722437 Issued in FL
Practice address
3733 University Blvd W Ste 202
Jacksonville, FL 32217-2152
Phone
(904) 755-6623
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X JG722437 FL Primary

Addresses

Primary practice location

3733 University Blvd W Ste 202
Jacksonville, FL 32217-2152

Mailing address

15770 Stedman Lake Dr
Jacksonville, FL 32218-0619
Phone (904) 554-2185

Other identifiers 1

IdentifierTypeStateIssuer
811016728OtherFLDR. JAMES COUNSELING AND CONSULTING / HEAVENLY HOME SWEET HOME, INC.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
JG722437FLMDPastoral Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Virgin Islands Agency for Restorative Care, Inc. Pastoral Current Accepting new patients
Heavenly Home Sweet Home, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1508395039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15770 STEDMAN LAKE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322180619",
            "telephone_number": "904-554-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 UNIVERSITY BLVD W STE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172152",
            "telephone_number": "904-755-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "PHD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": "JG722437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. JAMES COUNSELING AND CONSULTING / HEAVENLY HOME SWEET HOME, INC.",
            "identifier": "811016728",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.