Individual provider Active NPI

Jasmine Harden, LPC

  • Professional Counselor
  • Conyers, GA
National Provider Identifier
1891492864
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC013653 Issued in GA
Practice address
2621 Olde Ivy LN
Conyers, GA 30094-5777
Phone
(404) 617-9613
NPI assigned
Feb 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC013653 GA Primary

Addresses

Primary practice location

2621 Olde Ivy LN
Conyers, GA 30094-5777

Mailing address

2621 Olde Ivy LN
Conyers, GA 30094-5777
Phone (404) 617-9613

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240119000852 GA Practitioner - Mental Health Counselor 4880046499 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC013653GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Aug 29, 2025 Accepting new patients
Success Brand LLC Professional CurrentSince Jan 1, 2026 Accepting new patients
Marvin Behavioral Health Ma PC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

931 Monroe Dr NE
Ste A102235
Atlanta, GA 30308
Phone (770) 849-7490

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

Interoperability endpoints

  • Direct secure messaging: thrivinglanellc.jasmineharden@149897.advancedmd-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1891492864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 OLDE IVY LN",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945777",
            "telephone_number": "404-617-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 OLDE IVY LN",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945777",
            "telephone_number": "404-617-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEN",
        "first_name": "JASMINE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.