Individual provider Active NPI

Jillian G Thomson, MA, LPC, ADC

  • Professional Counselor
  • Huntsville, AL
National Provider Identifier
1518296177
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC04882 Issued in AL
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

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1790731081MedicaidKY

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

LicenseStateTypeSpecialty
LPC04882ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.