Individual provider Active NPI

Jennifer E Giambrone, PSY.D., LCMHT

  • Mental Health Counselor
  • Whitfield, MS
National Provider Identifier
1740620913
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1002 Issued in MS
Practice address
3550 Highway, 468 West
Fiscal Services
Whitfield, MS 39193-0157
Phone
(601) 351-8000
NPI assigned
Jul 2, 2013
Last updated
Jan 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1002 MS Primary

Addresses

Primary practice location

3550 Highway, 468 West
Fiscal Services
Whitfield, MS 39193-0157

Mailing address

P.O. Box 1 - Fiscal Services
3550 Highway, 468 West
Whitfield, MS 39193-0157
Phone (601) 351-8000

Other names 1

  • Jennifer E Freiert Other name

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
1002MSMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1740620913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1 - FISCAL SERVICES",
            "address_2": "3550 HIGHWAY, 468 WEST",
            "city": "WHITFIELD",
            "state": "MS",
            "postal_code": "391930157",
            "telephone_number": "601-351-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 HIGHWAY, 468 WEST",
            "address_2": "FISCAL SERVICES",
            "city": "WHITFIELD",
            "state": "MS",
            "postal_code": "391930157",
            "telephone_number": "601-351-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAMBRONE",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LCMHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "1002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FREIERT",
            "middle_name": "E",
            "credential": "PSY.D., LCMHT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whitfield, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.