Individual provider Active NPI

Jennifer Leigh Gilbert, LADC I

  • Addiction (Substance Use Disorder) Counselor
  • Worcester, MA
National Provider Identifier
1891800090
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
670 Issued in MA
Practice address
72 Jaques Ave
Detox- 3Rd Floor
Worcester, MA 01610-2476
Phone
(508) 421-4464
NPI assigned
Aug 20, 2006
Last updated
Oct 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 670 MA Primary

Addresses

Primary practice location

72 Jaques Ave
Detox- 3Rd Floor
Worcester, MA 01610-2476

Mailing address

1 Reservoir Rd
Milford, MA 01757-1325
Phone (508) 789-8839

Other practice location 1

76 Beech St
Norwood, MA 02062-2047
Phone (508) 789-8839

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
670MAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services, LLC Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1891800090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RESERVOIR RD",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571325",
            "telephone_number": "508-789-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 JAQUES AVE",
            "address_2": "DETOX- 3RD FLOOR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102476",
            "telephone_number": "508-421-4464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 Beech St",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MA",
            "postal_code": "020622047",
            "country_code": "US",
            "telephone_number": "508-789-8839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "LADC I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.