Individual provider Active NPI

Helen Gates Jenne, PSY.D.

  • Specialist
  • Atlanta, GA
National Provider Identifier
1629065180
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2577 Issued in GA
Practice address
2727 Paces Ferry Rd SE Ste 1-750
Atlanta, GA 30339-6264
Phone
(404) 419-6282
Fax
(404) 266-0058
NPI assigned
Sep 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2577 GA Primary

Addresses

Primary practice location

2727 Paces Ferry Rd SE Ste 1-750
Atlanta, GA 30339-6264

Mailing address

2727 Paces Ferry Rd SE Ste 1-750
Atlanta, GA 30339-6264
Phone (404) 419-6282

Other identifiers 1

IdentifierTypeStateIssuer
00946591AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2015 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2577GAMDSpecialist
002577GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Helen G. Jenne, Psy.D., LLC CurrentSince Jan 1, 1990 Accepting new patients
J. Stephen McDaniel, MD, PC Past Accepting new patients

Locations

3495 Piedmont Rd NE
Bldg 12-407
Atlanta, GA 30305
Phone (404) 419-6282

2727 Paces Ferry Rd SE
Ste 1-750
Atlanta, GA 30339
Phone (404) 419-6282

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1629065180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 PACES FERRY RD SE STE 1-750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396264",
            "telephone_number": "404-419-6282",
            "fax_number": "404-266-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 PACES FERRY RD SE STE 1-750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396264",
            "telephone_number": "404-419-6282",
            "fax_number": "404-266-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNE",
        "first_name": "HELEN",
        "middle_name": "GATES",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "2577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00946591A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.