J.G.J LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

J.G.J LLC

Doing business as

Enlightened Behavioral Health

Practice address

4807 West Ave # 100
San Antonio, TX 78213-2709

Phone

(210) 692-3030

NPI assigned

Dec 29, 2021

Last updated

Jan 10, 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

Mr. Jesse Galvan Jr.

Title

Manager/Owner

Phone

(713) 530-1007

Specialties & licenses 3

Addresses

Other names 1

• Enlightened Behavioral Health Doing business as

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.

• Tiffaney Michelle Gibbons, LPC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1215453592
  NPD (past)

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1528728680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 WEST AVE # 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132709",
            "telephone_number": "210-692-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 WEST AVE # 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132709",
            "telephone_number": "210-692-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.G.J LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "GALVAN",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "713-530-1007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enlightened Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• J. Andrew Jackson, D.D.S. LTD., LLP
• J. H. Luna, M.D.,P.a
• J. Keith Wright, M.D., P. a.
• J. Thomas Fitch M.D. PA
• J.G.Baillargeon and Associates
• J.Perry Fikes D.D.S P.C.
• J.R. Garza, PLLC (Eunoia Counseling Professionals)
• J.Scott Luther, M.D., P.a (Program Picante)
• J.W Hernandez Jr. DDS PC
• J&J Home Care LLC (FLHC of Central and North San Antonio)

• Mental Health Clinic/Center (Including Community Mental Health Center) in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.