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MRS. JESSICA ANN GILLAM
NPI 1417680901
Counselor - Mental Health in Phoenix, AZ

Active since July 02, 2022
2022 W BLAYLOCK DR, PHOENIX, AZ 85085(602) 459-1709 Get Directions Write a Review

NPPES record last updated: July 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jessica Ann Gillam NPPES

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

MRS. JESSICA ANN GILLAM (NPI 1417680901) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (LPC12819) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1417680901
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JESSICA ANN GILLAM
Location Address2022 W BLAYLOCK DRPhoenix, AZ 85085-1718
Mailing Address2022 W Blaylock DrPhoenix, AZ 85085-1718 · (602) 459-1709
Phone(602) 459-1709
Sole ProprietorYes
Enumeration DateJuly 2, 2022
NPPES CertifiedJuly 2, 2022
✔ NPI 1417680901 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 AZ · LPC12819
2022 W BLAYLOCK DR, Phoenix, AZ 85085
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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 Gillam's NPI number?

The NPI number for Jessica Gillam is 1417680901. It was assigned to this individual provider in the NPPES registry on July 2, 2022.

Where is Jessica Gillam located?

Jessica Gillam practices at 2022 W Blaylock Dr, Phoenix, AZ 85085. The listed phone number is (602) 459-1709.

What is Jessica Gillam's specialty?

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

When was this NPI record last updated?

The NPPES record for Jessica Gillam was last updated on July 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.