Jenny Mead Reed, LMFT, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

001755 Issued in GA

Practice address

102 Macy Dr
Roswell, GA 30076-6329

Phone

(678) 534-3824

NPI assigned

Jan 9, 2024

Last updated

Jan 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Jenny Mead Boley Reed Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 9, 2024 through Jan 9, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Restoration Coaching of Atlanta, LLC

  • Professional Counselor
  • Roswell, GA
  • NPI 1285480004
  NPD
• Restoration Counseling of Atlanta, LLC

  • Mental Health Counselor
  • Roswell, GA
  • NPI 1851712640
  NPD

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1881464980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MACY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766329",
            "telephone_number": "678-534-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MACY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766329",
            "telephone_number": "678-534-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JENNY",
        "middle_name": "MEAD",
        "name_prefix": "Mrs.",
        "credential": "LMFT, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "010595",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "001755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "REED",
            "middle_name": "MEAD BOLEY",
            "prefix": "MRS.",
            "credential": "LMT,  LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Consuelo Reddick, M.D.
• Rediclinic US, LLC (RediClinic)
• Ronald Scott Redman, D.C.
• Tene Redman, MD
• Dewanna Phiffer Reed, OTR/L
• Jimmy Reed, RBT
• John Chip Hamilton Reed III, M.D.
• Madison Reed
• Erin Elizabeth Reeves, FNP-C
• Rehab Atlanta, Inc.

• Professional Counselor in Roswell, GA
• Providers in Roswell, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.