Active NPI
Jennifer Porterfield Daley, LPC
- Professional Counselor
- Columbus, GA
National Provider Identifier
1144355546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC006102
- Practice address
- 3575 Macon Rd Ste 18
Columbus, GA 31907-8236 - Phone
- (706) 565-5927
- Fax
- (706) 565-8207
- NPI assigned
- Feb 23, 2007
- Last updated
- Jun 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC006102 | GA | Primary |
| Professional Counselor | 101YP2500X | 2684 | AL |
Addresses
Primary practice location
3575 Macon Rd Ste 18
Columbus, GA 31907-8236
Mailing address
3575 Macon Rd Ste 18
Columbus, GA 31907-8236
Phone (706) 565-5927
Other names 1
- Jennifer Porterfield Hicks
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC006102 | GA | MD | Professional Counselor |
| 2684 | AL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Counseling Center LLC | Professional | Past | Accepting new patients |
| Horizons North, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Columbus, GA
- NPI 1033462916
-
- Counselor
- Columbus, GA
- NPI 1184736092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307664000000",
"number": "1144355546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3575 MACON RD STE 18",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319078236",
"telephone_number": "706-565-5927",
"fax_number": "706-565-8207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3575 MACON RD STE 18",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319078236",
"telephone_number": "706-565-5927",
"fax_number": "706-565-8207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALEY",
"first_name": "JENNIFER",
"middle_name": "PORTERFIELD",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2011-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC006102",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "2684",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "HICKS",
"middle_name": "PORTERFIELD",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.