Jessica Lauren Mathisen, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007311 Issued in GA

Practice address

800 Old Roswell Lakes Pkwy
Suite 260
Roswell, GA 30076-1675

Phone

(214) 425-4448

NPI assigned

May 14, 2014

Sex

Female

Sole proprietor

No

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

Locations

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.

• Cadence Counseling, LLC

  • Community/Behavioral Health Agency
  • Roswell, GA
  • NPI 1962298919
  NPD

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1467863308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 523",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300770523",
            "telephone_number": "214-425-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OLD ROSWELL LAKES PKWY",
            "address_2": "SUITE 260",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761675",
            "telephone_number": "214-425-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHISEN",
        "first_name": "JESSICA",
        "middle_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Massey
• David M Mastro, DDS
• Stephi Mathew, BCBA
• CHI T Tianne Mathias
• Bianca Mathis, RBT
• Matias Health Chiropractic LLC
• Soammy Liz Matias, D.C.
• Shelby Myers Matlock
• Beverly Joi Matthews, MS
• Paul William Mattson, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.