Jacks X. Gilles, PSY.D., LP
Clinical Psychologist · Louisville, KY
Jacks X. Gilles, PSY.D., LP is a clinical psychologist with a practice address in Louisville, Kentucky, and NPI 1124212972, issued on Sep 4, 2007. Check the license (Kentucky 129842, as entered in NPPES) with the Kentucky board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacks X. Gilles
- Credential
- PSY.D., LP
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License numbers
- 129842 KY
1745 KY
2012-12 KY
Self-reported in NPPES; status is on the state search - Practice location
- 633 Baxter Ave, Louisville, KY 40204
- Phone
- (502) 309-2408
- Enumerated
- Sep 4, 2007
- Record last updated
- Nov 19, 2024
- Medicaid ID
- 7100481420 KY
- Medicare enrollment
- Enrolled (PECOS I20170913002014); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 714 in Kentucky → Look up another NPI →
Also registered at 633 Baxter Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Barbara Beauchamp, PSY.D.Clinical Psychologist1548545486
- Gabrielle ElzyCounseling Psychologist1013564772
- Ana Garzon Bello, M.ED.Psychologist1295372852
- Andrew HickmanClinical Psychologist1346939675
- Jonathan Macdonald, LCSW, MFTAClinical Social Worker1992522015
- Michael May, LCPCProfessional Counselor1528491685
Verify Jacks X. Gilles in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Kentucky board licenses this profession
Search for license 129842Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Mandala House, LLCLouisville, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jacks X. Gilles among 714 clinical psychologist records in Kentucky
Jacks X. Gilles, PSY.D., LP is one of 714 clinical psychologist records with a practice address in Kentucky. 11% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 23% of them.
- NPI issued2007 · 23% of these records are older, 59% newer
- In a Medicare fileYes · 11% of these records are
- In the CMS Doctors and Clinicians fileYes · 19% of these records are
- Graduated2011 · median 2010 among the 134 with a school on file
- Record last updated2024 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
248 clinical psychologist records list a practice address in Louisville
They are 248 of the 21,891 NPPES records with a practice address in Louisville, and 714 clinical psychologist records in Kentucky.
All 714 in Kentucky → Every provider in Louisville → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Barbara Beauchamp, PSY.D.Louisville, KY 402041548545486
- Emily Calvert, PSYCHOLOGISTLouisville, KY 402041023202678
- Heather DraweLouisville, KY 402041033552948
- Brian Gallagher, PH.D.Louisville, KY 402041568517472
- Beth Johnson, PSY.D.Louisville, KY 402041164629762
- Brian King, PSYDLouisville, KY 402041407183809
- Kathleen Lajoie, PSY.D.Louisville, KY 402041396814372
- Adrianne Lange, PH.D.Louisville, KY 402041457671232
Common questions
What is Jacks X. Gilles, PSY.D., LP's NPI number?
Jacks X. Gilles, PSY.D., LP's National Provider Identifier (NPI) is 1124212972, issued on Sep 4, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Jacks X. Gilles, PSY.D., LP located?
The NPPES record lists a practice address at 633 Baxter Ave, Louisville, KY, 40204. Phone: (502) 309-2408. Providers update this record themselves, so call before visiting.
How can I verify Jacks X. Gilles, PSY.D., LP's license?
NPPES lists Kentucky license number 129842, as entered by the provider. Search the Kentucky board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.