Active NPI
Jodi Cheree Spires, LPC
- Professional Counselor
- Jesup, GA
National Provider Identifier
1407809734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC 002765
- Practice address
- 244 Peachtree St
Jesup, GA 31545-0212 - Phone
- (912) 427-9338
- NPI assigned
- May 18, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC 002765 | GA | Primary |
Addresses
Primary practice location
244 Peachtree St
Jesup, GA 31545-0212
Mailing address
244 Peachtree St
Jesup, GA 31545-0212
Phone (912) 427-9338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC 002765 | Other | GA | STATE LICENSE |
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 |
|---|---|---|---|
| LPC 002765 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339718400000",
"number": "1407809734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 PEACHTREE ST",
"city": "JESUP",
"state": "GA",
"postal_code": "315450212",
"telephone_number": "912-427-9338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 PEACHTREE ST",
"city": "JESUP",
"state": "GA",
"postal_code": "315450212",
"telephone_number": "912-427-9338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIRES",
"first_name": "JODI",
"middle_name": "CHEREE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2012-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC 002765",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "LPC 002765",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jesup, GA
- Southern Pharmacy Group LLC
- Southwest Surgical Associates, P.C.
- Southwest Surgical Associates, P.C.
- Southwest Surgical Associates, PC
- Robson S Spinola, D.P.M.
- Sports Medicine and Rehabilitative Therapy
- Stanley D. Jones, M.D.P.C.
- Stephen P Smith, M. D., P. C.
- Gary R Stern, MD
- Holli Joy Stevens, P.T,, D.P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.