Imprints by Jazz Counseling Services PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

IMPRINTS BY JAZZ COUNSELING SERVICES PLLC

Practice address

392 Summerwind Plantation Dr
Garner, NC 27529-6044

Phone

(919) 332-8969

Fax

(919) 364-4797

NPI assigned

Apr 2, 2021

Organization subpart

No

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

Authorized official

Name

Tia Judd

Title

Credentialing

Phone

(919) 332-8969

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jasmine N Johnson, MA ,LCMHC

  • Mental Health Counselor
  • Garner, NC
  • NPI 1417463290
  NPD

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1841879400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 SUMMERWIND PLANTATION DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275296044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 SUMMERWIND PLANTATION DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275296044",
            "telephone_number": "919-332-8969",
            "fax_number": "919-364-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPRINTS BY JAZZ COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "JUDD",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "919-332-8969"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin A. Hoyer-Booth, AUD
• Megan Huffman, DPT
• Kele Elizabeth Hunt
• Ibrahim M Idris
• Curtis Todd Illig, RPH
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• Michelle Ann Iorio, ATC
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• Mental Health Counselor in Garner, NC
• Providers in Garner, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.