Thomas B. Jennings Jr., MS, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC009872 Issued in GA

Practice address

75 1St Ave
Newnan, GA 30263-2726

Phone

(850) 261-5137

NPI assigned

Oct 30, 2017

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pathways Center for Behavioral & Developmental Growth

  • Community/Behavioral Health Agency
  • Newnan, GA
  • NPI 1407492846
  NPD (past)

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1891207999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 1ST AVE",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302632726",
            "telephone_number": "850-261-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 1ST AVE",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302632726",
            "telephone_number": "850-261-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "THOMAS",
        "middle_name": "B.",
        "name_suffix": "Jr.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC009872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Geneva Jenkins-Jacobs, DNP, PMHNP-BC
• Brandy Gaddy Jenkins, CNM
• Kelley Dawn Jenkins, PMHNP-BC
• Sarah Aileen Jennings-Kumagai, MD
• Melinda Emery Jennings, NP-C
• Erin Elizabeth Jerger, RD, CDE
• Lauren A Jernigan, PA-C
• Kelley Jerris, MOTR/L
• Melanie Lynn Jessel, L.P.C.
• Jennifer L Jestel, APRN

• Counselor in Newnan, GA
• Providers in Newnan, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.