Individual provider Active NPI

Jennifer Harbin, MS, LPC, NCC

  • Professional Counselor
  • Marietta, GA
National Provider Identifier
1033655287
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC009441 Issued in GA
Practice address
2440 Sandy Plains Rd
Building 2, Suite 100
Marietta, GA 30066-4695
Phone
(678) 371-9958
NPI assigned
Jan 12, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC009441 GA Primary

Addresses

Primary practice location

2440 Sandy Plains Rd
Building 2, Suite 100
Marietta, GA 30066-4695

Mailing address

2440 Sandy Plains Rd
Building 2, Suite 100
Marietta, GA 30066-4695
Phone (678) 371-9958

Other practice location 1

2993 Sandy Plains Rd
Ste. 110/ Box 4
Marietta, GA 30066-4695
Phone (678) 371-9958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 23, 2024 through Jan 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC009441GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033655287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 SANDY PLAINS RD",
            "address_2": "BUILDING 2, SUITE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664695",
            "telephone_number": "678-371-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 SANDY PLAINS RD",
            "address_2": "BUILDING 2, SUITE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664695",
            "telephone_number": "678-371-9958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2993 Sandy Plains Rd",
            "address_2": "Ste. 110/ Box 4",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300664695",
            "country_code": "US",
            "telephone_number": "678-371-9958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARBIN",
        "first_name": "JENNIFER",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.