Organization Active NPI

Jeannie Lynch LPC-S NCC LLC

  • Professional Counselor
  • Decatur, AL
National Provider Identifier
1326413360
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2219 Issued in AL
Legal business name
JEANNIE LYNCH LPC-S NCC LLC
Practice address
1629 4TH Ave SE
Suite 111
Decatur, AL 35601-4900
Phone
(256) 686-2936
Fax
(256) 686-2988
NPI assigned
Dec 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Authorized official

Name
Jean Lynch, LPC
Title
Owner/President
Phone
(256) 686-2936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 2219 AL Primary

Addresses

Primary practice location

1629 4TH Ave SE
Suite 111
Decatur, AL 35601-4900

Mailing address

1629 4TH Ave SE
Suite 111
Decatur, AL 35601-4900
Phone (256) 686-2936

National Provider Directory

National Provider Directory

Locations

1629 4th Ave SE
Ste 111
Decatur, AL 35601
Phone (256) 686-2936

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1326413360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 4TH AVE SE",
            "address_2": "SUITE 111",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014900",
            "telephone_number": "256-686-2936",
            "fax_number": "256-686-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 4TH AVE SE",
            "address_2": "SUITE 111",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014900",
            "telephone_number": "256-686-2936",
            "fax_number": "256-686-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNIE LYNCH LPC-S NCC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "256-686-2936",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.