Active NPI
Jacklyn Alexia Chinnery, LPC
- Professional Counselor
- Peachtree City, GA
National Provider Identifier
1902658719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC014274
- Practice address
- 327 Barberry LN
Peachtree City, GA 30269-4295 - Phone
- (404) 287-9913
- NPI assigned
- Apr 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC014274 | GA | Primary |
Addresses
Primary practice location
327 Barberry LN
Peachtree City, GA 30269-4295
Mailing address
327 Barberry LN
Peachtree City, GA 30269-4295
Phone (404) 287-9913
Other practice location 1
5524 Old National Hwy Ste B
College Park, GA 30349-3290
Phone (404) 763-8555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC014274 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helping Hands Community Based Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Case Management Agency
- Atlanta, GA
- NPI 1669702510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1902658719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 BARBERRY LN",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302694295",
"telephone_number": "404-287-9913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 BARBERRY LN",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302694295",
"telephone_number": "404-287-9913"
}
],
"practiceLocations": [
{
"address_1": "5524 Old National Hwy Ste B",
"address_purpose": "LOCATION",
"city": "College Park",
"state": "GA",
"postal_code": "303493290",
"country_code": "US",
"telephone_number": "404-763-8555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHINNERY",
"first_name": "JACKLYN",
"middle_name": "ALEXIA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-04",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC014274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree City, GA
- Center for Allergy and Asthma Southern Crescent
- Center for Autism & Related Disorders, LLC
- Center for Women's Health and Aesthetics LLC
- Center for Young Minds Behavior & Learning, LLC
- Tytiana Childers
- Ara Chitchyan, MD
- Kathleen Sauve Chiu, IBCLC, RLC
- CHMG of Griffin, LLC (Centerwell Home Health)
- Choi and Bang OD, PC (Eyexam of Peachtree City)
- Jae Matthew Choi, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.