Individual provider Active NPI

Jennie Laplant

  • Mental Health Counselor
  • Lagrange, GA
National Provider Identifier
1134770274
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068-0125087 Issued in VT
Practice address
122 Gordon Commercial Dr Ste C
Lagrange, GA 30240-5754
Phone
(706) 845-4054
Fax
(706) 845-4367
NPI assigned
Sep 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068-0125087 VT Primary

Addresses

Primary practice location

122 Gordon Commercial Dr Ste C
Lagrange, GA 30240-5754

Mailing address

122 Gordon Commercial Dr Ste C
Lagrange, GA 30240-5754
Phone (706) 845-4054

Other names 1

  • Jennie Stryker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
068-0125087VTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1134770274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 GORDON COMMERCIAL DR STE C",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302405754",
            "telephone_number": "706-845-4054",
            "fax_number": "706-845-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 GORDON COMMERCIAL DR STE C",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302405754",
            "telephone_number": "706-845-4054",
            "fax_number": "706-845-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPLANT",
        "first_name": "JENNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0125087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIE",
            "last_name": "STRYKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.