Jason Southall Orrock, PH.D., LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3143 Issued in AL

Practice address

1030 S Brundidge St
Troy, AL 36081-3121

Phone

(434) 987-3669

NPI assigned

Jun 22, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Gardenia Cove Mental Health PC

  • Psychiatry Physician
  • Montgomery, AL
  • NPI 1063912301
  Medicare reassignment NPD

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

{
    "created_epoch": "1371859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371859200000",
    "number": "1881033850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1262",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360811262",
            "telephone_number": "434-987-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S BRUNDIDGE ST",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360813121",
            "telephone_number": "434-987-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORROCK",
        "first_name": "JASON",
        "middle_name": "SOUTHALL",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-22",
        "last_updated": "2013-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3143",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Kathleen O'Brien
• Oak Park Dental LLC
• Angela Ogleclark, MS, LPC, CRC
• Abigail Oliver, NP
• Open Air MRI of Troy LLC
• Ouicare LLC
• Kerri Lyn Outlaw, DNP, PMHNP-BC, RN
• Brittany Nicole Owings, CRNP
• Samantha Palmer, DPT
• Shabrell Parker, M.S., LICSW, DSW

• Mental Health Counselor in Troy, AL
• Providers in Troy, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.