Individual provider Active NPI

Jennifer Trawick, LPC, NCC

  • Mental Health Counselor
  • Warner Robins, GA
National Provider Identifier
1457726978
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC010117 Issued in GA
Practice address
1000 Corporate Pointe Ste 105
Warner Robins, GA 31088-3439
Phone
(478) 202-8947
Fax
(888) 540-0763
NPI assigned
Dec 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC010117 GA Primary

Addresses

Primary practice location

1000 Corporate Pointe Ste 105
Warner Robins, GA 31088-3439

Mailing address

172 E Beech St
Cochran, GA 31014-8506

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

LicenseStateTypeSpecialty
LPC010117GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Living Counseling and Life Coaching, LLC Mental Health CurrentSince Sep 10, 2023 Accepting new patients

Locations

2525 Moody Rd
Ste 105
Warner Robins, GA 31088
Phone (478) 202-8947

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1457726978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 E BEECH ST",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310148506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE POINTE STE 105",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883439",
            "telephone_number": "478-202-8947",
            "fax_number": "888-540-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAWICK",
        "first_name": "JENNIFER",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC010117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.