JAQUAVIOUS LIGON
NPI 1790628501
Counselor - Mental Health in Opelika, AL

Q: What is Jaquavious Ligon's NPI number?

The NPI number for Jaquavious Ligon is 1790628501. It was assigned to this individual provider in the NPPES registry on April 14, 2026.

Q: What is Jaquavious Ligon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaquavious Ligon was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 April 14, 2026PECOS Enrolled

2506 LAMBERT DR, OPELIKA, AL 36801(334) 742-2700(334) 742-2840 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jaquavious Ligon NPPES

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

JAQUAVIOUS LIGON (NPI 1790628501) is an individual mental health provider in Opelika, Alabama, licensed in Alabama (LPC05950) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1790628501

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJAQUAVIOUS LIGON

Location Address2506 LAMBERT DROpelika, AL 36801-7237

Mailing Address2506 Lambert DrOpelika, AL 36801-7237 · (334) 742-2700 · Fax (334) 742-2840

Phone(334) 742-2700

Fax(334) 742-2840

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 14, 2026

NPPES CertifiedApril 14, 2026

✔ NPI 1790628501 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 · LPC05950

2506 LAMBERT DR, Opelika, AL 36801

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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)

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

PECOS PAC ID2365911450

PECOS Enrollment IDI20260519000545

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 14

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

EAST ALABAMA MENTAL HEALTH-MENTAL RETARDATION BOARD INCORPOR

Community/Behavioral Health