Mardeea Jartu, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008953 Issued in GA

Practice address

307 Old Stone Rd
Villa Rica, GA 30180-1214

Phone

(770) 459-8799

Fax

(770) 459-8919

NPI assigned

Oct 4, 2016

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carenow Services, LLCGroup PAC ID 2163561259, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BCEGCD

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.

• Carenow Services, LLC

  • Community/Behavioral Health Agency
  • Roswell, GA
  • NPI 1770713117
  Medicare reassignment Care Compare group NPD
• Mobolaji Shalom Oyebanjo, Inc

  • Psychiatry Physician
  • Villa Rica, GA
  • NPI 1922280684
  NPD (past)
• Potters Hands Institute LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Villa Rica, GA
  • NPI 1386964690
  NPD (past)

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1760932685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 OLD STONE RD",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801214",
            "telephone_number": "770-459-8799",
            "fax_number": "770-459-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 OLD STONE RD",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801214",
            "telephone_number": "770-459-8799",
            "fax_number": "770-459-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARTU",
        "first_name": "MARDEEA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J & S Medical Transport LLC
• Jasmine Nichole Jack, MD
• Rashawn Wanya Jackson, DDS
• Deborah Jean Jahnke, APNP
• Mujeeb A Jan, MD
• Stannetta Shonnae Jefferson, MED
• Jennifer Poole OD and Associates
• Alicia M Jennings, MD
• Michelae Jennings
• Lynette Jensen, M.ED., CCC-SLP

• Professional Counselor in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.