Jessica D Wheeler LMFT Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT001214 Issued in GA

Legal business name

JESSICA D WHEELER LMFT INC

Practice address

3350 Noble Way Ste B
Valdosta, GA 31605-7444

Phone

(229) 333-0300

Fax

(229) 333-0306

NPI assigned

Apr 13, 2015

Organization subpart

No

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

Authorized official

Name

Jessica WheelerNPI 1801282553

Title

Owner

Phone

(229) 237-0655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Wheeler, LMFT

  • Marriage & Family Therapist
  • Nashville, GA
  • NPI 1801282553
  Medicare reassignment NPD Authorized official
• Staci Purvis, MSW

  • Social Worker
  • Nashville, GA
  • NPI 1538802962
  NPD

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1629464995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 NOBLE WAY STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057444",
            "telephone_number": "229-333-0300",
            "fax_number": "229-333-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 NOBLE WAY STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057444",
            "telephone_number": "229-333-0300",
            "fax_number": "229-333-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA D WHEELER LMFT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-237-0655"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "LMFT001214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Alyssa Jenkins
• Ronnie Neil Jenkins Jr., D.M.D.
• Jeri L Sheffield, D.O., P.C.
• James David Jernigan Jr.
• Samantha Jernigan, MT, NMT
• John B. Hunt, M.D., P.C.
• John W Devine, MD, PC
• Kimberly S Johns, RBT
• Angela Johnson
• Anthony P Johnson, M.D.

• Marriage & Family Therapist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.