GABRIELLE MICHELLE JIMMERSON APCC
NPI 1285243451
Counselor - Professional in Fountain Valley, CA

Active since July 23, 2020Opted out of Medicare · through Jan 1, 2028
17195 NEWHOPE ST STE 205, FOUNTAIN VALLEY, CA 92708(657) 360-4329 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gabrielle Michelle Jimmerson Apcc NPPES

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

GABRIELLE MICHELLE JIMMERSON APCC (NPI 1285243451) is an individual professional provider in Fountain Valley, California, licensed in California (APCC6954) and active in the NPI registry since July 2020. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1285243451
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameGABRIELLE MICHELLE JIMMERSONCredential: APCC
Location Address17195 NEWHOPE ST STE 205Fountain Valley, CA 92708-4211
Mailing Address21951 Rimhurst Dr Unit JLake Forest, CA 92630-5971 · (575) 921-5364
Sole ProprietorNo
Enumeration DateJuly 23, 2020
NPPES CertifiedJuly 23, 2020
NPI 1285243451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CA · APCC6954
17195 NEWHOPE ST STE 205, Fountain Valley, CA 92708

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Gabrielle Michelle Jimmerson Apcc 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

Marriage & Family Therapist
17195 NEWHOPE ST STE 205
FOUNTAIN VALLEY, CA 92708
Marriage & Family Therapist
17195 NEWHOPE ST STE 205
FOUNTAIN VALLEY, CA 92708

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 Gabrielle Jimmerson's NPI number?

The NPI number for Gabrielle Jimmerson is 1285243451. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Gabrielle Jimmerson located?

Gabrielle Jimmerson practices at 17195 Newhope St Ste 205, Fountain Valley, CA 92708. The listed phone number is (657) 360-4329.

What is Gabrielle Jimmerson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Gabrielle Jimmerson enrolled in Medicare?

No. Gabrielle Jimmerson has opted out of Medicare through January 1, 2028. 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 Gabrielle Jimmerson was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.