Active NPI
Jennifer M Herr, LPC
- Professional Counselor
- Woodstock, GA
National Provider Identifier
1548531908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC007728
- Practice address
- 9876 Main St Ste 100
Woodstock, GA 30188-3990 - Phone
- (770) 516-1050
- NPI assigned
- Jan 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC007728 | GA | Primary |
Addresses
Primary practice location
9876 Main St Ste 100
Woodstock, GA 30188-3990
Mailing address
8545 Edwardton Dr
Roswell, GA 30076-3690
Phone (762) 218-3529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC007728 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1548531908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8545 EDWARDTON DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300763690",
"telephone_number": "762-218-3529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9876 MAIN ST STE 100",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301883990",
"telephone_number": "770-516-1050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERR",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-17",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC007728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.