NPIMap

Organization Active NPI

Redjasmine, LLC

Doing business as Sea Glass Therapy

  • Professional Counselor
  • Newnan, GA
National Provider Identifier
1902463334
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
REDJASMINE, LLC
Doing business as
Sea Glass Therapy
Practice address
18 Perry St
Newnan, GA 30263-1919
Phone
(601) 331-0451
NPI assigned
May 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Jennifer Yaeger, LPC
Title
Owner/Clinical Director
Phone
(678) 621-1430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

18 Perry St
Newnan, GA 30263-1919

Mailing address

18 Perry St
Newnan, GA 30263-1919
Phone (678) 621-1430

Other names 1

  • Sea Glass Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

18 Perry St
Newnan, GA 30263
Phone (601) 331-0451

25 E Broad St
Newnan, GA 30263
Phone (470) 488-9475

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1902463334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PERRY ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631919",
            "telephone_number": "678-621-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 PERRY ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631919",
            "telephone_number": "601-331-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDJASMINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "YAEGER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "678-621-1430",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sea Glass Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.