Active NPI
Jermaine Thompson
- Mental Health Counselor
- Mableton, GA
National Provider Identifier
1790233435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 609 Hunnicutt Rd SE
Mableton, GA 30126-4607 - Phone
- (678) 508-7408
- NPI assigned
- Sep 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
609 Hunnicutt Rd SE
Mableton, GA 30126-4607
Mailing address
609 Hunnicutt Rd SE
Mableton, GA 30126-4607
Phone (678) 508-7408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1790233435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 HUNNICUTT RD SE",
"city": "MABLETON",
"state": "GA",
"postal_code": "301264607",
"telephone_number": "678-508-7408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 HUNNICUTT RD SE",
"city": "MABLETON",
"state": "GA",
"postal_code": "301264607",
"telephone_number": "678-508-7408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "JERMAINE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-12",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mableton, GA
- The We Care Homecare Foundation, Inc
- Thelwell Immediate Care Clinic Inc
- Brian Thomas
- Ellen Super Thomas, LPC
- Nechelle Thomas, STUDENT
- Megan Michie Thompson, M.S., CCC-SLP
- Touch of Therapy Health and Wellness Services, LLC
- Tram Hoang Vuong Tran, PHARM.D
- Vy Vuong Tran, PHARM.D
- Conner Alexander Trimiar
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.