Jenifer Nicole Beckman, LPC, ACS, RPT, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC0012309 Issued in GA

Practice address

1017 Fayetteville Rd SE # B
Atlanta, GA 30316-2932

Phone

(404) 486-9034

NPI assigned

Jul 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jenifer Willenzik Former name

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.

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1609362920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4074 N SHALLOWFORD RD",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303411658",
            "telephone_number": "704-578-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 FAYETTEVILLE RD SE # B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303162932",
            "telephone_number": "404-486-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKMAN",
        "first_name": "JENIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LPC, ACS, RPT, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC0012309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENIFER",
            "last_name": "WILLENZIK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peter Beckford, PHARMD
• James Eugene Beckham III, JEB BECKHAM M.D.
• Leslie Beckham, AU.D.
• Jacqueline Beckhom
• Valencia L. Beckley, R.N.
• Ross Matthew Beckman, M.D.
• Brittney Renea Beckmon-Forrester, PA-C
• Jerika Beckom
• Alahni Brier Becks
• Tonya Becks, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.