Lori Katherine Jurkovic, M.A., L.M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0627 Issued in GA

Practice address

1513 Johnson Ferry Rd
Suite T-1
Marietta, GA 30062-8101

Phone

(770) 578-1744

NPI assigned

Dec 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851469076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 WILLOW BND",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884640",
            "telephone_number": "404-401-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 JOHNSON FERRY RD",
            "address_2": "SUITE T-1",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628101",
            "telephone_number": "770-578-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURKOVIC",
        "first_name": "LORI",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "M.A., L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "0627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia R Conley, LLC
• Christopher Jung, DO
• Peter R Jungblut, MD
• Michael J Jurgens, MD
• Gregory James Jurkovic, P.HD.
• Ashley Justice
• Whitney Nevins Justice, LPC, LMFT
• Justin Time Counseling and Coaching, LLC
• Sheba Justin, OTR/L
• Jyoti Corporation, LLC

• Marriage & Family Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.