Jennifer Kimmerle, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT001141 Issued in GA

Practice address

1254 Concord Rd SE
201
Smyrna, GA 30080-4371

Phone

(678) 787-6721

Fax

(770) 934-6086

NPI assigned

Nov 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Solution Focused Therapy Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Smyrna, GA
  • NPI 1316239247
  NPD (past) Authorized official

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1770738486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6148 BELLEWOOD ASH LN",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300848624",
            "telephone_number": "678-787-6721",
            "fax_number": "770-934-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 CONCORD RD SE",
            "address_2": "201",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804371",
            "telephone_number": "678-787-6721",
            "fax_number": "770-934-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMERLE",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001141",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "RI",
            "license": "MFT00122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Leann Kiernan, LICENSED OPTICIAN
• David Nam Young Kim, M.D
• Ji Young Min Kim
• Kimberlynn R. Richards, MD, PC
• Guatemala Kimble, FNP-C
• Annie V King, LHAD
• Jason King, PH.D.
• Kingdom Counseling and Consultation LLC
• Jacqueline Kinnon
• Laura Waligura Kirk

• All providers in Smyrna, GA
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.