Active NPI
Jennifer Leigh Farrar, LAPC
- Mental Health Counselor
- Dalton, GA
National Provider Identifier
1255809083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC012181
- Practice address
- 1414 Dug Gap Rd
Dalton, GA 30720-5007 - Phone
- (706) 279-0405
- NPI assigned
- Nov 9, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APC006554 | GA | |
| Mental Health Counselor | 101YM0800X | LPC012181 | GA | Primary |
Addresses
Primary practice location
1414 Dug Gap Rd
Dalton, GA 30720-5007
Mailing address
132 Farrar Rd
Cohutta, GA 30710-9705
Phone (706) 537-2075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC006554 | GA | MD | Mental Health Counselor |
| LPC012181 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family and Children First LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Dalton, GA
- NPI 1770627515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1255809083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 FARRAR RD",
"city": "COHUTTA",
"state": "GA",
"postal_code": "307109705",
"telephone_number": "706-537-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 DUG GAP RD",
"city": "DALTON",
"state": "GA",
"postal_code": "307205007",
"telephone_number": "706-279-0405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRAR",
"first_name": "JENNIFER",
"middle_name": "LEIGH",
"credential": "LAPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-09",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "APC006554",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC012181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.