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MRS. JAZZMIN GASTLEY MS, LPC
NPI 1033787882
Counselor - Mental Health in Holly Springs, GA

Active since June 16, 2021Opted out of Medicare · through Aug 23, 2026
113 MOUNTAIN BROOK DR STE 200, HOLLY SPRINGS, GA 30115(404) 585-0053 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2026, Jun 16, 2021 (2 updates tracked since 2021).

About Mrs. Jazzmin Gastley Ms, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JAZZMIN GASTLEY MS, LPC (NPI 1033787882) is an individual mental health provider in Holly Springs, Georgia and active in the NPI registry since June 2021. She has opted out of Medicare through August 23, 2026.

NPPES Registry Identity

NPI1033787882
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JAZZMIN GASTLEYCredential: MS, LPC
Location Address113 MOUNTAIN BROOK DR STE 200Holly Springs, GA 30115-9057
Mailing Address113 Mountain Brook Dr Ste 200Holly Springs, GA 30115-9057 · (404) 585-0053
Phone(404) 585-0053
Sole ProprietorYes
Enumeration DateJune 16, 2021
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1033787882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
113 MOUNTAIN BROOK DR STE 200, Holly Springs, GA 30115
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Jazzmin Gastley Ms, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 23, 2024 through August 23, 2026.

Opt-Out Effective DateAugust 23, 2024
Opt-Out In Effect ThroughAugust 23, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLOW & MOSS COUNSELING SERVICES LLC
Counselor (Mental Health)
113 MOUNTAIN BROOK DR STE 200
HOLLY SPRINGS, GA 30115
Cherokee County (404) 585-0053

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jazzmin Gastley's NPI number?

The NPI number for Jazzmin Gastley is 1033787882. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Where is Jazzmin Gastley located?

Jazzmin Gastley practices at 113 Mountain Brook Dr Ste 200, Holly Springs, GA 30115. The listed phone number is (404) 585-0053.

What is Jazzmin Gastley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jazzmin Gastley enrolled in Medicare?

No. Jazzmin Gastley has opted out of Medicare through August 23, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jazzmin Gastley was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.