Active NPI
Gabrielle Jackson
- Mental Health Counselor
- Huntsville, AL
National Provider Identifier
1912447921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 115 Chase Rd NW
Huntsville, AL 35811-1119 - Phone
- (601) 606-9258
- NPI assigned
- Feb 24, 2017
- Last updated
- Mar 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Speech-Language Assistant | 2355S0801X | 244126 | MS |
Addresses
Primary practice location
115 Chase Rd NW
Huntsville, AL 35811-1119
Mailing address
115 Chase Rd NW
Huntsville, AL 35811-1119
Phone (601) 606-9258
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
| License | State | Type | Specialty |
|---|---|---|---|
| 244126 | MS | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490054400000",
"number": "1912447921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 CHASE RD NW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358111119",
"telephone_number": "601-606-9258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 CHASE RD NW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358111119",
"telephone_number": "601-606-9258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "GABRIELLE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-24",
"last_updated": "2017-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "MS",
"license": "244126",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.