Active NPI
Justin Gillespie, APCC
- Mental Health Counselor
- Los Altos, CA
National Provider Identifier
1942983127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14441
- Practice address
- 851 Fremont Ave
Los Altos, CA 94024-5698 - Phone
- (650) 297-3400
- NPI assigned
- Aug 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 14441 | CA | Primary |
Addresses
Primary practice location
851 Fremont Ave
Los Altos, CA 94024-5698
Mailing address
PO Box 28265
San Jose, CA 95159-8265
Phone (650) 885-6550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 20, 2025 through Aug 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14441 | CA | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1942983127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28265",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951598265",
"telephone_number": "650-885-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 FREMONT AVE",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940245698",
"telephone_number": "650-297-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLESPIE",
"first_name": "JUSTIN",
"credential": "APCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-14",
"last_updated": "2023-08-14",
"certification_date": "2023-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "14441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.