Jennifer-Linda S Saccoccia, MS, NCC, LAPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC008694 Issued in GA

Practice address

310 Paper Trail Way Ste 108
Canton, GA 30115-5204

Phone

(678) 880-4645

NPI assigned

Apr 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Canton Counseling, LLC

  • Professional Counselor
  • Canton, GA
  • NPI 1780014720
  Medicare reassignment NPD

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1710672811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 DARLINGTON CT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406519",
            "telephone_number": "770-713-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 PAPER TRAIL WAY STE 108",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301155204",
            "telephone_number": "678-880-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCOCCIA",
        "first_name": "JENNIFER-LINDA",
        "middle_name": "S",
        "credential": "MS, NCC, LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC008694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Dirk Russell, D.M.D.
• James Michael Rutherford, CRNA
• Terri Rybak, CST/CSFA
• Samuel M Sabaka, PH.D.
• Najam Sabreen, MD
• Giselle Sadeghi, DMD
• Sage Dental Group of Georgia, LLC
• Behnaz Samimi Darzikolaei
• Radhika Sampat, D.O.
• Zachary Austin Samples

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.