Individual provider Active NPI

Jessica Gifford, LMHC, CASAC

  • Mental Health Counselor
  • Springwater, NY
National Provider Identifier
1689105835
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007241 Issued in NY
Practice address
6802 Ross Rd
Springwater, NY 14560-9648
Phone
(585) 201-8879
NPI assigned
Mar 21, 2017
Last updated
May 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 30647 NY
Mental Health Counselor 101YM0800X 007241-1 NY
Mental Health Counselor 101YM0800X 007241 NY Primary

Addresses

Primary practice location

6802 Ross Rd
Springwater, NY 14560-9648

Mailing address

6802 Ross Rd
Springwater, NY 14560-9648
Phone (585) 201-8879

Other practice location 1

807 Ridge Rd Ste 203
Webster, NY 14580-2497
Phone (585) 259-3892

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

State licenses

LicenseStateTypeSpecialty
30647NYMDAddiction (Substance Use Disorder) Counselor
007241-1NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Gifford Mental Health Counseling, PLLC CurrentSince May 25, 2025 Accepting new patients
Catholic Charities of the Diocese of Rochester Addiction (Substance Use Disorder) 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1689105835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 ROSS RD",
            "city": "SPRINGWATER",
            "state": "NY",
            "postal_code": "145609648",
            "telephone_number": "585-201-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 ROSS RD",
            "city": "SPRINGWATER",
            "state": "NY",
            "postal_code": "145609648",
            "telephone_number": "585-201-8879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 Ridge Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "NY",
            "postal_code": "145802497",
            "country_code": "US",
            "telephone_number": "585-259-3892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "JESSICA",
        "credential": "LMHC, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "30647",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007241-1",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springwater, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.