Organization Active NPI

Ocala Consulting & Prevention, LLC

  • Mental Health Counselor
  • Ocala, FL
National Provider Identifier
1770916264
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10396 Issued in FL
Legal business name
OCALA CONSULTING & PREVENTION, LLC
Practice address
2303 SE 17TH St Ste 102
Ocala, FL 34471-9109
Phone
(352) 622-4488
Fax
(352) 565-2196
NPI assigned
Aug 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Jackie Gibson-Jacobowitz, LMHC, MCAP
Title
Ceo
Phone
(352) 622-4488

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH10396 FL Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

2303 SE 17TH St Ste 102
Ocala, FL 34471-9109

Mailing address

2303 SE 17TH St Ste 102
Ocala, FL 34471-9109
Phone (352) 622-4488

Other identifiers 1

IdentifierTypeStateIssuer
Z02F4OtherFLBCBS PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200812000125 FL Part B Supplier - Clinic/Group Practice 4981020757 Receives reassigned benefits from 1 practitioner
Practice locations: Ocala, FL

National Provider Directory

National Provider Directory

Locations

2300 SE 17th St
Ste 201
Ocala, FL 34471
Phone (352) 629-4256

2100 SE 17th St
Bldg 700
Ocala, FL 34471
Phone (352) 622-4488

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1770916264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 SE 17TH ST STE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344719109",
            "telephone_number": "352-622-4488",
            "fax_number": "352-565-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 SE 17TH ST STE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344719109",
            "telephone_number": "352-622-4488",
            "fax_number": "352-565-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCALA CONSULTING & PREVENTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "GIBSON-JACOBOWITZ",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-622-4488",
        "authorized_official_credential": "LMHC, MCAP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10396",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "Z02F4",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.