Active NPI
Jessica Laibson Schmoll, LPC
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1467766360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC005396
- Practice address
- 1455 Lincoln Pkwy E Ste 300
Atlanta, GA 30346-2209 - Phone
- (404) 449-6199
- NPI assigned
- Aug 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC005396 | GA | Primary |
| Mental Health Counselor | 101YM0800X | 005396 | GA |
Addresses
Primary practice location
1455 Lincoln Pkwy E Ste 300
Atlanta, GA 30346-2209
Mailing address
122 W Trinity PL Apt 3305
Decatur, GA 30030-3593
Phone (404) 449-6199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 21, 2024 through Jan 21, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005396 | GA | MD | Mental Health Counselor |
| LPC005396 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wiser Ground LLC | Professional | Current | Accepting new patients |
| Perimeter Therapy Associates LLC | Past | Accepting new patients |
Locations
1455 Lincoln Pkwy E
Ste 300
Atlanta, GA 30346
Phone (404) 449-6199
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Atlanta, GA
- NPI 1295044204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1467766360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 W TRINITY PL APT 3305",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303593",
"telephone_number": "404-449-6199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 LINCOLN PKWY E STE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303462209",
"telephone_number": "404-449-6199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMOLL",
"first_name": "JESSICA",
"middle_name": "LAIBSON",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-03",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005396",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "005396",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.