Active NPI
Stephen Jester, LPC
- Professional Counselor
- Roswell, GA
National Provider Identifier
1821229840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC004649
- Practice address
- 901 Bombay LN
Roswell, GA 30076-5829 - Phone
- (423) 779-8620
- NPI assigned
- Aug 7, 2009
- Last updated
- May 26, 2011
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC004649 | GA | Primary |
Addresses
Primary practice location
901 Bombay LN
Roswell, GA 30076-5829
Mailing address
7246 Blue Springs Rd
Cleveland, TN 37311-8812
Phone (423) 779-8620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC004649 | Other | GA | LICENSE |
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 |
|---|---|---|---|
| LPC004649 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1821229840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7246 BLUE SPRINGS RD",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373118812",
"telephone_number": "423-779-8620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 BOMBAY LN",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300765829",
"telephone_number": "423-779-8620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JESTER",
"first_name": "STEPHEN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-07",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC004649",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "LPC004649",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.