Individual provider Active NPI

Janice Rene McLeroy, ED.S, LPC, NCC, NCSC

  • Professional Counselor
  • Peachtree City, GA
National Provider Identifier
1710267646
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
003840 Issued in GA
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

Updated by the provider on Feb 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
003840GAMDProfessional 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.

Verify at the official NPI Registry.