NPIMap

Individual provider Active NPI

Julia Ann Jerome, LPC

  • Professional Counselor
  • Statesboro, GA
National Provider Identifier
1386126795
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
010358 Issued in GA
Practice address
140 Lanier Drive
Apt 28
Statesboro, GA 30458
Phone
(912) 549-3784
NPI assigned
Aug 31, 2018
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 010358 GA Primary

Addresses

Primary practice location

140 Lanier Drive
Apt 28
Statesboro, GA 30458

Mailing address

211 Thornwood CT
Statesboro, GA 30458-0296
Phone (912) 687-1105

Other practice location 1

211 Thornwood Ct
Statesboro, GA 30458-0296
Phone (912) 687-1105

Other practice location 2

134 N Main St
Statesboro, GA 30458-5753
Phone (912) 764-1900

Other practice location 3

205 S Skinner Ave Unit B
Pooler, GA 31322-3221
Phone (912) 349-8043

Other names 1

  • Julia Jerome Tipton Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Safe to Shore Counseling Professional Current Accepting new patients
Building Blocks Family Counseling PastSince Jan 1, 2020 Accepting new patients
Moore Counseling and Consulting Services, LLC. PastSince Jan 1, 2020 Accepting new patients
Pineland Area Community Services Board Past Accepting new patients

Locations

134 N Main St
Statesboro, GA 30458
Phone (912) 687-1105

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1386126795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 THORNWOOD CT",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580296",
            "telephone_number": "912-687-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LANIER DRIVE",
            "address_2": "APT 28",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30458",
            "telephone_number": "912-549-3784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Thornwood Ct",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304580296",
            "country_code": "US",
            "telephone_number": "912-687-1105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "134 N Main St",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304585753",
            "country_code": "US",
            "telephone_number": "912-764-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 S Skinner Ave Unit B",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313223221",
            "country_code": "US",
            "telephone_number": "912-349-8043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEROME",
        "first_name": "JULIA",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "010358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "TIPTON",
            "middle_name": "JEROME",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.