Jan Brooks Allen, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC003163 Issued in GA

Practice address

1030 Village Dr
Watkinsville, GA 30677-6004

Phone

(706) 769-1718

NPI assigned

Jul 18, 2008

Last updated

Jul 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Douglas W Duke LPC

  • Professional Counselor
  • Watkinsville, GA
  • NPI 1497987119
  NPD (past)
• Stresscare, Inc.

  • Clinical Social Worker
  • Watkinsville, GA
  • NPI 1023086105
  NPD (past)

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1467616482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 OLD SNOWS MILL RD",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306222748",
            "telephone_number": "706-769-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 VILLAGE DR",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306776004",
            "telephone_number": "706-769-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JAN",
        "middle_name": "BROOKS",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC003163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Agel
• Robert K Ahrens, M.D.
• Elizabeth Cavanah Albers, DNP
• Aletheia Health & Wellness LLC
• Gena D Alexander-Albert, MD
• Judith Carr Allen, OTR
• William David Allen, DMD
• Allison Deroeck Psychotherapy LLC
• Ana Alviz
• Amanda D Dyer, PHD, Inc

• Professional Counselor in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.