JESSICA DOUGLAS
NPI 1336786540
Counselor - Mental Health in Montgomery, AL
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessica Douglas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessica Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Montgomery, AL 36117
- Reassigned Medicare billing, Alabama enrollment
- 48 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Jessica Douglas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Douglas reassigns Medicare benefits to Gardenia Cove Mental Health PC (Montgomery, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Douglas accept?
Health plans from Blue Cross and Blue Shield of Alabama and 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.
# Jessica Douglas · NPI 1336786540
Mental Health provider in Montgomery, Alabama. Individual provider, active in the CMS NPPES registry since December 6, 2019.
## Identity
- **NPI:** 1336786540 (Entity type: Individual)
- **Enumerated:** December 6, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 2745 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 112 COLISEUM BLVD, Montgomery, AL 36109-2708
- **Phone:** (334) 279-7810
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Gardenia Cove Mental Health PC (NPI 1063912301, Montgomery, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 6, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1336786540) · Data from the CMS NPPES public registry.