Jennifer Herrin, LPC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC008529 Issued in GA

Legal business name

JENNIFER HERRIN, LPC

Practice address

400 Main Street, Cottage 1
Saint Simons Island, GA 31522

Phone

(912) 258-3473

Fax

(888) 459-9707

NPI assigned

Nov 18, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Ingersoll Herrin, LPC

Title

Licensed Counselor

Phone

(912) 258-3473

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shelia Thurman

  • Clinical Social Worker
  • St Simons Island, GA
  • NPI 1215320569
  NPD (past)

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1770957433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MAIN STREET, COTTAGE 1",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "31522",
            "telephone_number": "912-258-3473",
            "fax_number": "888-459-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAIN STREET, COTTAGE 1",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "31522",
            "telephone_number": "912-258-3473",
            "fax_number": "888-459-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER HERRIN, LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "HERRIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "INGERSOLL",
        "authorized_official_title_or_position": "LICENSED COUNSELOR",
        "authorized_official_telephone_number": "912-258-3473",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC008529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Howell, L.M.T.
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• Guoliang Jiang
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• Megan Leigh Johnson
• William P Johnson Jr., MD
• Monica Register Jolley, PHARMD

• All providers in Saint Simons Island, GA
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.