Active NPI
Jessie W Pippin
- Mental Health Counselor
- Blountstown, FL
National Provider Identifier
1710847314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 26339
- Practice address
- 20311 Central Ave W
Blountstown, FL 32424-1947 - Phone
- (850) 674-8888
- Fax
- (850) 237-1223
- NPI assigned
- Nov 15, 2025
- Last updated
- Nov 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 26339 | FL | Primary |
Addresses
Primary practice location
20311 Central Ave W
Blountstown, FL 32424-1947
Mailing address
161 Bozeman Cir
Wewahitchka, FL 32465-7486
Phone (850) 227-6850
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26339 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763164800000",
"number": "1710847314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 BOZEMAN CIR",
"city": "WEWAHITCHKA",
"state": "FL",
"postal_code": "324657486",
"telephone_number": "850-227-6850",
"fax_number": "850-227-6850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20311 CENTRAL AVE W",
"city": "BLOUNTSTOWN",
"state": "FL",
"postal_code": "324241947",
"telephone_number": "850-674-8888",
"fax_number": "850-237-1223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPPIN",
"first_name": "JESSIE",
"middle_name": "W",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-15",
"last_updated": "2025-11-15",
"certification_date": "2025-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "26339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blountstown, FL
- Panhandle Therapy Center LLC
- Linda Ann Patnode, LMHC
- Verna L Patterson-Roberts, MASTERS
- PHC-Blountstown Inc
- Marcella Denise Phillips
- Jon Mark Plummer, R.PH.
- Cindy Mears Porter, ARNP
- Alecia Presbitero, RBT
- Madelyn Shiplov Price, MCD/CCC-SLP
- Regency Care of Blountstown, LLC (Blountstown Health & Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.