Individual provider Active NPI

Jessica Koen

  • Social Worker
  • Gilbertown, AL
National Provider Identifier
1992661912
Registry record updated Jan 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
4874G Issued in AL
Practice address
112 Melvin Rd
Gilbertown, AL 36908-5254
Phone
(251) 843-2292
Fax
(800) 343-1596
NPI assigned
Jan 3, 2026
Last updated
Jan 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4874G AL Primary

Addresses

Primary practice location

112 Melvin Rd
Gilbertown, AL 36908-5254

Mailing address

2578 Horace Odom Rd
Millry, AL 36558-5069

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
4874GALMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Better You Counseling Services LLC Single Specialty CurrentSince Jan 4, 2026 Accepting new patients

Locations

112 Melvin Rd
Gilbertown, AL 36908
Phone (205) 457-2689

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": "1767398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767398400000",
    "number": "1992661912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2578 HORACE ODOM RD",
            "city": "MILLRY",
            "state": "AL",
            "postal_code": "365585069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MELVIN RD",
            "city": "GILBERTOWN",
            "state": "AL",
            "postal_code": "369085254",
            "telephone_number": "251-843-2292",
            "fax_number": "800-343-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEN",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-03",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "4874G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbertown, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2026; 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.