Jeffrey Gordon Peeples, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008119 Issued in GA

Practice address

4484 Spring MTN LN
Powder Springs, GA 30127-8227

Phone

(770) 315-7114

NPI assigned

Jun 30, 2021

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 30, 2021.

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1548830664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4484 SPRING MTN LN",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301278227",
            "telephone_number": "770-315-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4484 SPRING MTN LN",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301278227",
            "telephone_number": "770-315-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEPLES",
        "first_name": "JEFFREY",
        "middle_name": "GORDON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeff@jeffpeeples.net",
            "affiliation": "N",
            "endpointDescription": "Contact information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4484 Spring Mtn Ln",
            "city": "Powder Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301278227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Powder Springs, GA
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.