Dana Jennings, EDS, LPC, NCC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

40578 Issued in TX

Practice address

1505 Ashbrooke Trce
Stone Mountain, GA 30083-1306

Phone

(770) 315-9033

NPI assigned

May 27, 2020

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eduvention Mentoring and Consulting LLC

  • Case Management Agency
  • Houston, TX
  • NPI 1023741592
  Medicare reassignment NPD

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1114540911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 HIGHWAY 70 S APT 216",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372215236",
            "telephone_number": "770-315-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 ASHBROOKE TRCE",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300831306",
            "telephone_number": "770-315-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "DANA",
        "credential": "EDS, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "40578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seyed Mansour Jazayeri, PA-C
• JBS Transport
• Asia Dionne Jenkins
• Temekia Jenkins
• Brenda Jennings, OTR/L
• Shauntel Jennings
• Jirah Creations
• Natalja Edna Johns, LMFT
• Angela A. Johnson
• Belinda Johnson

• Clinical Psychologist in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.