Active NPI
Jessica Lynn Peterson
- Professional Counselor
- Cumming, GA
National Provider Identifier
1780593459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 6010 Southard Trce
Cumming, GA 30040-6343 - Phone
- (229) 800-9695
- Fax
- (617) 807-0958
- NPI assigned
- Sep 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | GA | Primary |
Addresses
Primary practice location
6010 Southard Trce
Cumming, GA 30040-6343
Mailing address
PO Box 748465
Atlanta, GA 30374-8465
Phone (855) 284-7483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788739200000",
"number": "1780593459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748465",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748465",
"telephone_number": "855-284-7483",
"fax_number": "617-807-0958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 SOUTHARD TRCE",
"city": "CUMMING",
"state": "GA",
"postal_code": "300406343",
"telephone_number": "229-800-9695",
"fax_number": "617-807-0958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "JESSICA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-07",
"last_updated": "2026-09-07",
"certification_date": "2026-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
- Personal Recovery Network LLC (Georgia Behavioral Health Professionals)
- Genna Pesce, MSOT, OTR/L
- Barbara Joyce Peters, LPC
- Heather Peters, CPNP
- Stephanie Lynn Peterson-Eichhorn, M.A., CCC-SLP
- Isabel Petree
- Jason Alexander Petrofski, MD
- Kristen Petros, DPT
- George S Petryk, DC,DACNB,FACFN,FABES
- James Michael Petway, M.D., F.C.C.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.