Jordan Lynn McGinnis, M.DIV

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2300 W Park Place Blvd Ste 135
Stone Mountain, GA 30087-3561

Phone

(678) 330-1400

NPI assigned

Dec 18, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• The Potter'S House Family and Children Treatment Center

  • Adolescent and Children Mental Health Clinic/Center
  • Stone Mountain, GA
  • NPI 1326230020
  NPD

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1770179202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 WINTERS CHAPEL RD APT 1305",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303602797",
            "telephone_number": "904-563-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W PARK PLACE BLVD STE 135",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873561",
            "telephone_number": "678-330-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "JORDAN",
        "middle_name": "LYNN",
        "credential": "M.DIV",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Patrice McCray
• Margaret N McDaniell, CRNA
• Tessa McDonnell, FNP-BC
• James Myrick McGee I, D.M.D.
• Robin McGhee, O.D.
• McKenzie Mansfield Pharmacy Services, LLC
• Manuel Carl McKenzie III
• Tywona McKenzie, LPN
• Dereka McKissack McKissack
• Erica Nannette McKnight, CSFA

• Mental Health Counselor in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.