Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497210561 Individual Practitioner Female Practitioner

Jackie Spain

Counselor • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Jackie Spain is a registered healthcare professional specializing in Counselor in Orlando, FL. Practice services are available at 5749 WESTGATE DR STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5749 Westgate Dr Ste 102

Orlando, FL 328355040

Telephone 3214411030
Associated Practice Facility / Clinic
🏢 Devereux Florida Facility NPI 1174945877

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.7 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
293 Specialists

Practicing in Orlando, FL (3441 Statewide)

Telehealth Adoption Rate
0.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-09
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License FL 17518

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License FL 17518

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners
Liliane De Almeida

Case Manager/Care Coordinator

NPI 1003360488
Michal Wright

Social Worker - Clinical

NPI 1073392585
Nikki Ramirez

Social Worker

NPI 1124432232
Khadijah Lewis

Counselor - Mental Health

NPI 1225783103
Julissa Perez

Counselor - Mental Health

NPI 1235093402
Jacqueline Samyn

Social Worker

NPI 1245763697

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 09, 2021

Registered at 5749 WESTGATE DR STE 102, ORLANDO, FL 328355040 (Tel: 3214411030)

📍
Updated Business Mailing Address June 09, 2021

Registered at 5749 WESTGATE DR STE 102, ORLANDO, FL 328355040 (Tel: 3214418124)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2021

Counselor (License #17518 in FL)

NPI Profile Active February 04, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 04, 2019

Registered at 2479 ALOMA AVE, WINTER PARK, FL 327922541 (Tel: 4075015227)

📍
Updated Business Mailing Address February 04, 2019

Registered at 5513 THOMAS SQUARE DR, WINTER GARDEN, FL 347875028 (Tel: 4077669198)

👤
Provider Name / Credentials Updated February 04, 2019

Recorded as JACKIE SPAIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2019

Counselor (License #17518 in FL)

🟢
Initial NPI Registration & Enumeration February 04, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497210561
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 04, 2019
Last Update: June 09, 2021
Sole Proprietor: Yes

Mailing Address

5749 Westgate Dr Ste 102

Orlando, FL 328355040

Phone: 3214418124

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.