Organization Active NPI

Ocala Consulting & Prevention, LLC

  • Community/Behavioral Health Agency
  • Ocala, FL
National Provider Identifier
1790351641
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OCALA CONSULTING & PREVENTION, LLC
Practice address
2100 SE 17TH St Ste 702
Ocala, FL 34471-4171
Phone
(352) 622-4488
Fax
(352) 565-2196
NPI assigned
Jun 1, 2021
Last updated
Jan 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Authorized official

Name
Jackie Marie Gibson-Jacobowitz
Title
Ceo
Phone
(352) 622-4488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2100 SE 17TH St Ste 702
Ocala, FL 34471-4171

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
010325500MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Ocala Consulting Prevention3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1790351641",
    "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": "2100 SE 17TH ST STE 702",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714171",
            "telephone_number": "352-622-4488",
            "fax_number": "352-565-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCALA CONSULTING & PREVENTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "GIBSON-JACOBOWITZ",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-622-4488"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010325500",
            "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 Jan 24, 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.