Jeremiah Tree CCS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

JEREMIAH TREE CCS

Practice address

501 Gloucester St Ste 117
Brunswick, GA 31520-7030

Phone

(912) 244-9919

NPI assigned

Jul 29, 2024

Organization subpart

No

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

Authorized official

Name

Leeann Gumulauskas, LPCNPI 1144565284

Title

LPC/Owner

Phone

(912) 244-9919

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leeann Rochelle Gumulauskas

  • Professional Counselor
  • Brunswick, GA
  • NPI 1144565284

  GA, Professional

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1548099682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GLOUCESTER ST STE 117",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315207030",
            "telephone_number": "912-244-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GLOUCESTER ST STE 117",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315207030",
            "telephone_number": "912-244-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMIAH TREE CCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "GUMULAUSKAS",
        "authorized_official_first_name": "LEEANN",
        "authorized_official_title_or_position": "LPC/OWNER",
        "authorized_official_telephone_number": "912-244-9919",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Jarocki
• Jebediah S Christy DDS - Brunswick PLLC
• Jeffry M Smith D C
• Bethany Jade Jennings, OTR
• Jake C Jensen, PT, DPT
• Jessica Poe P.C.
• Jet'S Pharmacy II, LLC.
• Jet'S Pharmacy II, LLC.
• Jim Lanier, Acsw (Dba) Center for Family Growth
• John E Imhoff MD PC

• All providers in Brunswick, GA
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.