Active NPI
Jennifer Mary Zak, LPC
- Professional Counselor
- Brunswick, GA
National Provider Identifier
1154858124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC004660
- Practice address
- 664 Scranton Rd Ste 201
Brunswick, GA 31520-1947 - Phone
- (912) 996-0814
- NPI assigned
- May 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC004660 | GA | Primary |
Addresses
Primary practice location
664 Scranton Rd Ste 201
Brunswick, GA 31520-1947
Mailing address
105 Dalton Cody Dr
Brunswick, GA 31520-2928
Phone (912) 399-2475
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 |
|---|---|---|---|
| LPC004660 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495411200000",
"number": "1154858124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 DALTON CODY DR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315202928",
"telephone_number": "912-399-2475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 SCRANTON RD STE 201",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315201947",
"telephone_number": "912-996-0814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAK",
"first_name": "JENNIFER",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-22",
"last_updated": "2017-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC004660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, GA
- Sarah Eve Yeskel, PA-C
- Crystal Lynn Yoder-Sheehan, LMSW-CC
- Christan E. York, L.C.S.W.
- Travis A Young, NP-C
- Alan Bryan Youngner, RPH
- Joanne Marie Zanetos, FNP
- John Robert Zechmann, O.D.
- Zhen Wellness Advanced Nutrition Consulting and Chiropractic (Advanced Wellness of the Golden Isles)
- Annie Ziegler, MS, RDN, LDN
- George David Zoret, MD, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.