Individual provider Active NPI

Jennifer Hawkins

  • Mental Health Counselor
  • Chamblee, GA
National Provider Identifier
1740747930
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2769246 Issued in GA
Practice address
2900 Chamblee Tucker Rd Ste 100
Chamblee, GA 30341-4100
Phone
(678) 687-5731
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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 2769246 GA Primary

Addresses

Primary practice location

2900 Chamblee Tucker Rd Ste 100
Chamblee, GA 30341-4100

Mailing address

2900 Chamblee Tucker Rd Ste 100
Chamblee, GA 30341-4100

Other practice location 1

1640 Powers Ferry Rd SE Ste 300
Marietta, GA 30067-5491
Phone (678) 687-5731

Other practice location 2

5400 Laurel Springs Pkwy Ste 1101
Suwanee, GA 30024-6078
Phone (678) 687-5731

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
2769246GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1740747930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CHAMBLEE TUCKER RD STE 100",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303414100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CHAMBLEE TUCKER RD STE 100",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303414100",
            "telephone_number": "678-687-5731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 Powers Ferry Rd SE Ste 300",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300675491",
            "country_code": "US",
            "telephone_number": "678-687-5731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5400 Laurel Springs Pkwy Ste 1101",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300246078",
            "country_code": "US",
            "telephone_number": "678-687-5731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "2769246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chamblee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.