Active NPI
Jin Lee, LMFT
- Counselor
- Athens, GA
National Provider Identifier
1376869495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MFT001239
- Practice address
- 195 Miles St
Athens, GA 30601-1820 - Phone
- (706) 542-9700
- Fax
- (706) 227-7249
- NPI assigned
- Apr 14, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MFT001239 | GA | Primary |
Addresses
Primary practice location
195 Miles St
Athens, GA 30601-1820
Mailing address
250 North Ave
Athens, GA 30601-2244
Phone (706) 542-9700
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 |
|---|---|---|---|
| MFT001239 | GA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336348800000",
"number": "1376869495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 NORTH AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306012244",
"telephone_number": "706-542-9700",
"fax_number": "706-227-7249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 MILES ST",
"city": "ATHENS",
"state": "GA",
"postal_code": "306011820",
"telephone_number": "706-542-9700",
"fax_number": "706-227-7249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JIN",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-14",
"last_updated": "2012-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "MFT001239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.