Active NPI
Jennifer Dean, PH.D.
- Counseling Psychologist
- Lawrenceville, GA
National Provider Identifier
1366872830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 003341
- Practice address
- 1000 University Center LN
Lawrenceville, GA 30043-7409 - Phone
- (678) 407-5592
- NPI assigned
- Nov 20, 2013
- Last updated
- Oct 19, 2015
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 003341 | GA | Primary |
Addresses
Primary practice location
1000 University Center LN
Lawrenceville, GA 30043-7409
Mailing address
756 Village Field CT
Suwanee, GA 30024-1970
Phone (404) 542-4385
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003341 | GA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445212800000",
"number": "1366872830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "756 VILLAGE FIELD CT",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300241970",
"telephone_number": "404-542-4385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 UNIVERSITY CENTER LN",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300437409",
"telephone_number": "678-407-5592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "JENNIFER",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-20",
"last_updated": "2015-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "GA",
"license": "003341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.