Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackie Spain

Individual provider Mental Health Counselor · NPI 1497210561

Jackie Spain is a Mental Health Counselor in Orlando, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

5749 Westgate Dr Ste 102
Orlando, FL 32835-5040
Phone: (321) 441-1030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 17518 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence 17518 (FL)

Record details

NPI number1497210561
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 4, 2019
Last updated in NPPESJune 9, 2021
Certification dateJune 9, 2021

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