Active NPI
Jennifer Cooper
- Counselor
- Dawsonville, GA
National Provider Identifier
1801250287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- APC005350
- Practice address
- 1100 Old Dawson Village Rd E
Suite 020
Dawsonville, GA 30534-3806 - Phone
- (678) 914-4334
- NPI assigned
- Apr 11, 2016
- Last updated
- Apr 11, 2016
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | APC005350 | GA | Primary |
Addresses
Primary practice location
1100 Old Dawson Village Rd E
Suite 020
Dawsonville, GA 30534-3806
Mailing address
1100 Old Dawson Village Rd E
Suite 020
Dawsonville, GA 30534-3806
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC005350 | GA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joy in the Journey Counseling LLC | Current | Accepting new patients | |
| Goshen Valley Foundation Inc | Past | Accepting new patients | |
| Oasis Ministries LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- NPI 1386262327
-
- Community/Behavioral Health Agency
- Canton, GA
- NPI 1710238787
-
- Community/Behavioral Health Agency
- Lilburn, GA
- NPI 1922481191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460332800000",
"number": "1801250287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 OLD DAWSON VILLAGE RD E",
"address_2": "SUITE 020",
"city": "DAWSONVILLE",
"state": "GA",
"postal_code": "305343806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 OLD DAWSON VILLAGE RD E",
"address_2": "SUITE 020",
"city": "DAWSONVILLE",
"state": "GA",
"postal_code": "305343806",
"telephone_number": "678-914-4334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-11",
"last_updated": "2016-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "APC005350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dawsonville, GA
- Commissioner of Roads and Revenue Dawson County (Dawson County Emergency Services)
- Comprehensive Internal Medicine at Dawsonville, LLC
- Connell and Kim, O.D. Associates Limited Liability Company (Spec-Takular Boutique)
- Cymanthia Keesha Connell, M.D.
- Darlene Cooper, MA, LPC
- Karen Marie Corby, OTD
- Cornerstone Physical Therapy
- Mariana Cota, APRN, FNP-C
- Country Cab & Transportation LLC
- County of Dawson Health Department
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.