NPIMap

Organization Active NPI

Jervon D Hamilton Counseling

  • Mental Health Counselor
  • Fairburn, GA
National Provider Identifier
1487149274
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC009947 Issued in GA
Legal business name
JERVON D HAMILTON COUNSELING
Practice address
7255 Jumpers TRL
Fairburn, GA 30213-4813
Phone
(404) 665-7718
NPI assigned
Jun 25, 2018
Last updated
Jun 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Authorized official

Name
Jervon Hamilton, LPCNPI 1952819435
Title
Counselor/Director
Phone
(404) 665-7718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LPC009947 GA Primary

Addresses

Primary practice location

7255 Jumpers TRL
Fairburn, GA 30213-4813

Mailing address

7255 Jumpers TRL
Fairburn, GA 30213-4813
Phone (404) 665-7718

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1487149274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 JUMPERS TRL",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302134813",
            "telephone_number": "404-665-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 JUMPERS TRL",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302134813",
            "telephone_number": "404-665-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERVON D HAMILTON COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "JERVON",
        "authorized_official_title_or_position": "COUNSELOR/DIRECTOR",
        "authorized_official_telephone_number": "404-665-7718",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC009947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.