JESSICA DOUGLAS
NPI 1336786540
Counselor - Mental Health in Montgomery, AL

Active since December 06, 2019PECOS Enrolled
112 COLISEUM BLVD, MONTGOMERY, AL 36109(334) 279-7810 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Douglas NPPES

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

JESSICA DOUGLAS (NPI 1336786540) is an individual mental health provider in Montgomery, Alabama, licensed in Alabama (2745) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hayneville.

NPPES Registry Identity

NPI1336786540
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA DOUGLAS
Location Address112 COLISEUM BLVDMontgomery, AL 36109-2708
Mailing AddressPo Box 3223Montgomery, AL 36109-0223 · (334) 279-7830 · Fax (334) 277-8862
Sole ProprietorNo
Enumeration DateDecember 6, 2019
NPI 1336786540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in AL · 2745
112 COLISEUM BLVD, Montgomery, AL 36109

Secondary Practice Location 1

Location 15 Academy LnHayneville, AL 36040-2617 · Phone (334) 279-7830

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessica Douglas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

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

Counselor (Professional)
112 COLISEUM BLVD
MONTGOMERY, AL 36109
Counselor (Mental Health)
112 COLISEUM BLVD
MONTGOMERY, AL 36109
Counselor (Professional)
112 COLISEUM BLVD
MONTGOMERY, AL 36109

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 Jessica Douglas's NPI number?

The NPI number for Jessica Douglas is 1336786540. It was assigned to this individual provider in the NPPES registry on December 6, 2019.

Where is Jessica Douglas located?

Jessica Douglas practices at 112 Coliseum Blvd, Montgomery, AL 36109. The listed phone number is (334) 279-7810.

What is Jessica Douglas's specialty?

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

Is Jessica Douglas enrolled in Medicare?

Yes. Jessica Douglas is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Douglas accept?

Health plans from Oscar Insurance Company list Jessica Douglas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Douglas was last updated on December 6, 2019. 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.