Active NPI
Jessica Drew, LPC
- Counselor
- Lithia Springs, GA
National Provider Identifier
1346594256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC006047
- Practice address
- 2645 Lee Rd Ste C-3
PMB 227
Lithia Springs, GA 30122-3356 - Phone
- (770) 851-6869
- NPI assigned
- Oct 30, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC006047 | GA | Primary |
Addresses
Primary practice location
2645 Lee Rd Ste C-3
PMB 227
Lithia Springs, GA 30122-3356
Mailing address
2645 Lee Rd Ste C-3
PMB 227
Lithia Springs, GA 30122-3356
Phone (770) 851-6869
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 |
|---|---|---|---|
| LPC006047 | GA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Counselor | Current | Accepting new patients |
Interoperability endpoints
- jessicagordon@tdh.allscriptsdirect.net
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1346594256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 LEE RD STE C-3",
"address_2": "PMB 227",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301223356",
"telephone_number": "770-851-6869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 LEE RD STE C-3",
"address_2": "PMB 227",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301223356",
"telephone_number": "770-851-6869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREW",
"first_name": "JESSICA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-30",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "LPC006047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lithia Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.