Active NPI
Janice Rene McLeroy, ED.S, LPC, NCC, NCSC
- Professional Counselor
- Peachtree City, GA
National Provider Identifier
1710267646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 003840
- Practice address
- 14 Eastbrook BND Ste 105
Peachtree City, GA 30269-1520 - Phone
- (470) 499-4643
- NPI assigned
- Aug 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 003840 | GA | Primary |
Addresses
Primary practice location
14 Eastbrook BND Ste 105
Peachtree City, GA 30269-1520
Mailing address
14 Eastbrook BND Ste 105
Peachtree City, GA 30269-1520
Phone (470) 499-4643
Other practice location 1
145 Governors Sq
Suite A
Fayetteville, GA 30215-4861
Phone (678) 364-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003840 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550448000000",
"number": "1710267646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 EASTBROOK BND STE 105",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691520",
"telephone_number": "470-499-4643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 EASTBROOK BND STE 105",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691520",
"telephone_number": "470-499-4643"
}
],
"practiceLocations": [
{
"address_1": "145 Governors Sq",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "GA",
"postal_code": "302154861",
"country_code": "US",
"telephone_number": "678-364-1300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLEROY",
"first_name": "JANICE",
"middle_name": "RENE",
"name_prefix": "Ms.",
"credential": "ED.S, LPC, NCC, NCSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-23",
"last_updated": "2019-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "003840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.