Active NPI
Jillian G Thomson, MA, LPC, ADC
- Professional Counselor
- Huntsville, AL
National Provider Identifier
1518296177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC04882
- Practice address
- 2327 Pansy St SW Ste C
Huntsville, AL 35801-3804 - Phone
- (256) 474-8981
- NPI assigned
- Dec 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | LPC04882 | AL | Primary |
Addresses
Primary practice location
2327 Pansy St SW Ste C
Huntsville, AL 35801-3804
Mailing address
2327 Pansy St SW Ste C
Huntsville, AL 35801-3804
Phone (256) 474-8981
Other practice location 1
1351 Newtown Pike
Lexington, KY 40511-1275
Phone (859) 253-1686 ext. 520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790731081 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC04882 | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zoetic Accord Counseling Services, LLC | Professional | Current | Accepting new patients |
Locations
604 Davis Cir SW
Huntsville, AL 35801
Phone (256) 539-4079
2327 Pansy St SW
#C
Huntsville, AL 35801
Phone (256) 299-3759
Organizations & group practices 1
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.
-
- Professional Counselor
- Huntsville, AL
- NPI 1194420703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1518296177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2327 PANSY ST SW STE C",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013804",
"telephone_number": "256-474-8981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2327 PANSY ST SW STE C",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013804",
"telephone_number": "256-474-8981"
}
],
"practiceLocations": [
{
"address_1": "1351 Newtown Pike",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405111275",
"country_code": "US",
"telephone_number": "859-253-1686 x520",
"fax_number": "859-254-2743",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMSON",
"first_name": "JILLIAN",
"middle_name": "G",
"credential": "MA, LPC, ADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-10",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "LPC04882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790731081",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.