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JACKIE SPAIN
NPI 1497210561
Counselor in Orlando, FL

Active since February 04, 2019
5749 WESTGATE DR STE 102, ORLANDO, FL 32835(321) 441-1030 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2021, Feb 4, 2019 (2 updates tracked since 2019).

About Jackie Spain NPPES

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

JACKIE SPAIN (NPI 1497210561) is an individual counselor in Orlando, Florida, licensed in Florida (17518) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1497210561
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJACKIE SPAIN
Location Address5749 WESTGATE DR STE 102Orlando, FL 32835-5040
Mailing Address5749 Westgate Dr Ste 102Orlando, FL 32835-5040 · (321) 441-8124
Phone(321) 441-1030
Sole ProprietorYes
Enumeration DateFebruary 4, 2019
Last NPPES UpdateJune 9, 20212 updates tracked since enumeration
NPPES CertifiedJune 9, 2021
✔ NPI 1497210561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in FL · 17518
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 17518 (FL)
5749 WESTGATE DR STE 102, Orlando, FL 32835
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Other Providers at the Same Location NPPES 20

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

LILIANE DE ALMEIDA
Case Manager/Care Coordinator
5749 WESTGATE DR STE 102
ORLANDO, FL 32835
Orange County (321) 441-1030
SARAH COATES
Counselor (Mental Health)
5749 WESTGATE DR STE 102
ORLANDO, FL 32835
Orange County (321) 243-4535
LILLIE ADKINS MSW
Social Worker
5749 WESTGATE DR STE 102
ORLANDO, FL 32835
Orange County (407) 793-7708
MR. COREY L BUSSIERE MA, MED/EDS
Counselor (Mental Health)
5749 WESTGATE DR STE 102
ORLANDO, FL 32835
Orange County (321) 290-0898
YVONNE LYNETTE THOMPSON
Social Worker (Clinical)
5749 WESTGATE DR STE 102
ORLANDO, FL 32835
Orange County (321) 441-8623
DEVEREUX FLORIDA
Case Management
5749 WESTGATE DR STE 102
ORLANDO, FL 32835
Orange County (321) 441-1030
MS. TASHA AUSTIN
Counselor (Mental Health)
5749 WESTGATE DR STE 102
ORLANDO, FL 32835
Orange County (321) 441-8623
MARISA COLON MS/EDS
Counselor (Mental Health)
5749 WESTGATE DR STE 102
ORLANDO, FL 32835
Orange County (321) 441-1030

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 Jackie Spain's NPI number?

The NPI number for Jackie Spain is 1497210561. It was assigned to this individual provider in the NPPES registry on February 4, 2019.

Where is Jackie Spain located?

Jackie Spain practices at 5749 Westgate Dr Ste 102, Orlando, FL 32835. The listed phone number is (321) 441-1030.

What is Jackie Spain's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jackie Spain was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.