JAMIE GILLIAM – Mental Health Counselor, NPI 1487961975

JAMIE GILLIAM is a healthcare provider. based in Holyoke, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for JAMIE GILLIAM is 1487961975

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
JAMIE GILLIAM
NPI
1487961975
Phone
Not provided
Address
47 DAVIS ST
Enumeration Date
7 September 2010
Last Update Date
22 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4137360395
Graduation Year
2011 (15 years ago)
PAC ID
4284142704
Group Practice PAC ID
4486544525
Professional Enrollment ID
I20250805001872
Address ID
MA011043301SP2155XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:15State licenses:0Digital endpointsOther names

2,116 MENTAL HEALTH COUNSELOR in MA

Provider Addresses for JAMIE GILLIAM

  • 47 DAVIS ST

    HOLYOKE, MA 010403057

    Phone:

    Type: Mailing

  • 1132 WESTFIELD ST

    WEST SPRINGFIELD, MA 010893878

    Phone: (413) 592-1980

    Type: Location

  • 2155 MAIN ST

    SPRINGFIELD, MA 011043301

    Phone: (413) 736-0395

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250805001872IMental Health CounselorMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01040)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486544525View full group profile
NameSpecialtyState
Clinical Social WorkerMA
P S Y C H I A T R YMA
Mental Health CounselorMA
-MA
Clinical PsychologistMA
Psychiatry, Geriatric PsychiatryMA

Reviews

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Frequently asked questions

Does JAMIE GILLIAM share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JAMIE GILLIAM uses 1487961975.
Does the file indicate JAMIE GILLIAM is practicing under active NPI?
Directory data currently reports JAMIE GILLIAM as active.
What is JAMIE GILLIAM best known for clinically?
Directory data describes JAMIE GILLIAM with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for JAMIE GILLIAM?
JAMIE GILLIAM's geographic hint is Holyoke, Massachusetts in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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