Individual provider Active NPI

Laura Gail Jackson, ALC

  • Counselor
  • Montgomery, AL
National Provider Identifier
1720838535
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
ALC04727 Issued in AL
Practice address
2046 Clubview St
Montgomery, AL 36106-1625
Phone
(334) 322-4437
Fax
(334) 460-9814
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X ALC04727 AL Primary

Addresses

Primary practice location

2046 Clubview St
Montgomery, AL 36106-1625

Mailing address

2046 Clubview St
Montgomery, AL 36106-1625
Phone (334) 354-5361

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
ALC04727ALMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Counseling Services, LLC CurrentSince Jun 23, 2025 Accepting new patients
Behavioral Medicine LLC PastSince Mar 1, 2024 Accepting new patients

Locations

2046 Clubview St
Montgomery, AL 36106
Phone (334) 294-4327

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1720838535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 CLUBVIEW ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061625",
            "telephone_number": "334-354-5361",
            "fax_number": "334-460-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 CLUBVIEW ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061625",
            "telephone_number": "334-322-4437",
            "fax_number": "334-460-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LAURA",
        "middle_name": "GAIL",
        "credential": "ALC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "ALC04727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.