AMY JACQUES LPC, BC-DMT
NPI 1710561501
Counselor - Professional in Gainesville, GA

Q: What is Amy Jacques's NPI number?

The NPI number for Amy Jacques is 1710561501. It was assigned to this individual provider in the NPPES registry on May 8, 2021.

Q: What is Amy Jacques's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amy Jacques was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 08, 2021PECOS Enrolled

610 CANDLER ST, GAINESVILLE, GA 30501(678) 632-6169(678) 943-1197 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 30, 2023, May 8, 2021 (2 updates tracked since 2021).

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About Amy Jacques Lpc, Bc-dmt NPPES

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

AMY JACQUES LPC, BC-DMT (NPI 1710561501) is an individual professional provider in Gainesville, Georgia, licensed in Georgia (LPC012102) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710561501

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameAMY JACQUESCredential: LPC, BC-DMT

Location Address610 CANDLER STGainesville, GA 30501-3334

Mailing Address3446 Winder Hwy Ste MFlowery Branch, GA 30542-3002 · (678) 632-6169 · Fax (678) 943-1197

Phone(678) 632-6169

Fax(678) 943-1197

Sole ProprietorNo

Enumeration DateMay 8, 2021

Last NPPES UpdateMarch 30, 20232 updates tracked since enumeration

NPPES CertifiedMay 12, 2021

✔ NPI 1710561501 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 GA · LPC012102

610 CANDLER ST, Gainesville, GA 30501

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Jacques Lpc, Bc-dmt 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.

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 Amy Jacques's NPI number?

The NPI number for Amy Jacques is 1710561501. It was assigned to this individual provider in the NPPES registry on May 8, 2021.

Where is Amy Jacques located?

Amy Jacques practices at 610 Candler St, Gainesville, GA 30501. The listed phone number is (678) 632-6169.

What is Amy Jacques's specialty?

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

Is Amy Jacques enrolled in Medicare?

Yes. Amy Jacques is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Jacques was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.