Jessica Corbin, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC010546 Issued in GA

Practice address

2090 Sugarloaf Pkwy Ste 115
Lawrenceville, GA 30045-9402

Phone

(770) 676-0589

NPI assigned

May 21, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Jessica Williams Former name

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.

• Atlanta Counseling & Diagnotics Center LLC

  • Professional Counselor
  • Lawrenceville, GA
  • NPI 1265825566
  NPD

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1609255884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3095 ABERDEEN CV",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300381540",
            "telephone_number": "678-386-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 SUGARLOAF PKWY STE 115",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300459402",
            "telephone_number": "770-676-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC004869",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WILLIAMS",
            "prefix": "MRS.",
            "credential": "LAPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Keller Copeland, DMD
• Kiarra Copeland
• Kristen Copeland, NP
• Don M Coppedge, RPH
• Jennifer Hutcheson Corbin, RDH
• Teria K Corbin
• Darrell Frank Corder
• Jose Antonio Cordero, ED.M., LAPC
• Cordinat Medical Staffing and Consulting
• Shelly Wong Cordsen, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.