Jenny Van Overbeke Brooks, PH.D., P.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY003048 Issued in GA

Legal business name

JENNY VAN OVERBEKE BROOKS, PH.D., P.C.

Practice address

4045 Orchard Rd SE Ste 110
Smyrna, GA 30080-4904

Phone

(770) 293-1950

Fax

(770) 293-1955

NPI assigned

Aug 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jenny Van Overbeke Brooks, PH.D.NPI 1598816712

Title

Owner/Psychologist

Phone

(770) 293-1950

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenny Van Overbeke Brooks, PH.D.

  • Counseling Psychologist
  • Atlanta, GA
  • NPI 1598816712
  Medicare reassignment NPD Authorized official
• Susan Errera, LPC

  • Professional Counselor
  • Atlanta, GA
  • NPI 1649776196
  NPD (past)
• Cecelia L. Williams, PSY.D., MSW

  • Clinical Psychologist
  • Smyrna, GA
  • NPI 1407094162
  NPD (past)
• Xiaohui Yang

  • Counseling Psychologist
  • Smyrna, GA
  • NPI 1265167027
  NPD (past)

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1407003536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 ORCHARD RD SE STE 110",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804904",
            "telephone_number": "770-293-1950",
            "fax_number": "770-293-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 ORCHARD RD SE STE 110",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804904",
            "telephone_number": "770-293-1950",
            "fax_number": "770-293-1955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2308 Perimeter Park Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303411316",
            "country_code": "US",
            "telephone_number": "770-457-5577",
            "fax_number": "770-457-5599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JENNY VAN OVERBEKE BROOKS, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "VAN OVERBEKE",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "770-293-1950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "PSY003048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "722100907A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjenny@atlantainnovativecounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "4045 Orchard Rd SE Ste 110",
            "city": "Smyrna",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300804904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brianna Nicole Jefferson
• Shellina R Jenkins, LPC
• Jennings W Bristol DDS PC
• Charay Jennings-Dover, M.D., PH.D.
• Courtney D Jennings, PHARMD
• Miguel A Jimenez, M.D.
• Anna Jin, APC
• Jiton P.C.
• Jjedu LLC
• Nykeya Jjmes, LPC

• Community/Behavioral Health Agency in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.