Jennifer Carmack, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC13236 Issued in GA

Practice address

104 Borders Way Ste 500
Warner Robins, GA 31088-8967

Phone

(478) 352-0422

NPI assigned

Oct 17, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Caring Minds Mental Health Professionals LLC

  • Mental Health Counselor
  • Warner Robins, GA
  • NPI 1154047561
  NPD

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1215653605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ED BAYER CT STE 130",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310884046",
            "telephone_number": "478-333-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BORDERS WAY STE 500",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888967",
            "telephone_number": "478-352-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMACK",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC13236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent M Carey, D.M.D.
• Caring Minds Mental Health Professionals LLC
• Anna Carithers, SLP
• James Carlan, LMT, CPT, CWMS
• Carleen M. Forbes, LMFT
• Jessica Carpenter, MA, MS, RD, LD
• Lauren Ann Carpenter, M.D.
• Callie Carr
• Justin David Carr
• Regina Carr, PHARMD

• Professional Counselor in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.