Gerald D. Jennings, PHD, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC000736 Issued in GA

Legal business name

GERALD D. JENNINGS, PHD, LPC

Doing business as

Innovative Counseling Solutions

Practice address

308 Shorter Ave NW
Rome, GA 30165-4268

Phone

(706) 295-0440

Fax

(706) 368-6971

NPI assigned

Oct 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gerald D. Jennings, LPCNPI 1417176371

Title

Counselor

Phone

(706) 290-2665

Specialties & licenses 1

Addresses

Other names 1

• Innovative Counseling Solutions Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald D. Jennings, PH. D. , LPC

  • Mental Health Counselor
  • Rome, GA
  • NPI 1417176371
  NPD (past) Authorized official
• Edward Gerard Buckenham III, MA, LPC

  • Professional Counselor
  • Rome, GA
  • NPI 1710160320
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669569158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SHORTER AVE NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301654268",
            "telephone_number": "706-295-0440",
            "fax_number": "706-368-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 SHORTER AVE NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301654268",
            "telephone_number": "706-295-0440",
            "fax_number": "706-368-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD D. JENNINGS, PHD, LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "706-290-2665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC000736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Counseling Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Georgia Oral Surgical Institute LLC (Rome Oral Surgery & Implant Center)
• Georgia Pain and Wellness Center (Summit Spine & Joint Centers)
• Georgia Pelvic Health & Wellness
• Georgia Pelvic PT, LLC
• Georgia Wound Physicians, LLC
• Laurie Ansley Gerhard, ARNP-BC
• Elizabeth Getchell
• Joyce Ann Giancola-Bolton, LPC
• Taylor Rae Gibbs, FNP-C
• Stephen P Gibert Jr., MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.