Jessica Diane Root, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC006368 Issued in GA

Practice address

306 Corder Rd
Warner Robins, GA 31088-3647

Phone

(478) 971-4684

NPI assigned

Feb 4, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1013249846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CHADWYCK LN",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310053151",
            "telephone_number": "478-971-4684",
            "fax_number": "478-971-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 CORDER RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883647",
            "telephone_number": "478-971-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOT",
        "first_name": "JESSICA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC006368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Rogers, RN
• Marcus Davonte Rogers
• Mike Rogers
• Lori Tylynn Rooks, AGNP-C
• Erin M Root, DPT
• Lola Sicard Rosenbaum, DPT, PT, MHS, OCS
• Brikki Nicole Ross, RN
• Demetria Ross
• Jaylin Jene Ross, LAPC
• Joni Howard Ross

• Mental Health Counselor in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.