JACQUICE GILLUM
NPI 1841133246
Counselor - Addiction (Substance Use Disorder) in Jackson, MS

Active since April 10, 2026
3450 HIGHWAY 80 W, JACKSON, MS 39209(601) 321-2400 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacquice Gillum NPPES

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

JACQUICE GILLUM (NPI 1841133246) is an individual addiction (substance use disorder) provider in Jackson, Mississippi and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1841133246
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACQUICE GILLUM
Location Address3450 HIGHWAY 80 WJackson, MS 39209-7201
Mailing Address138 William Mckinley CirJackson, MS 39213-3136
Sole ProprietorNo
Enumeration DateApril 10, 2026
NPPES CertifiedApril 10, 2026
NPI 1841133246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3450 HIGHWAY 80 W, Jackson, MS 39209

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.

Counselor (Addiction (Substance Use Disorder))
3450 HIGHWAY 80 W
JACKSON, MS 39209
Social Worker
3450 HIGHWAY 80 W
JACKSON, MS 39209
Social Worker
3450 HIGHWAY 80 W
JACKSON, MS 39209
Nurse Practitioner (Psychiatric/Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Case Manager/Care Coordinator
3450 HIGHWAY 80 W
JACKSON, MS 39209
Counselor (Addiction (Substance Use Disorder))
3450 HIGHWAY 80 W
JACKSON, MS 39209
Counselor (Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Counselor (Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209

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 Jacquice Gillum's NPI number?

The NPI number for Jacquice Gillum is 1841133246. It was assigned to this individual provider in the NPPES registry on April 10, 2026.

Where is Jacquice Gillum located?

Jacquice Gillum practices at 3450 Highway 80 W, Jackson, MS 39209. The listed phone number is (601) 321-2400.

What is Jacquice Gillum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jacquice Gillum was last updated on April 10, 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.