Leann Gail Jean, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC004416 Issued in GA

Practice address

3711 Executive Center Drive Suite 201
Martinez, GA 30907-0951

Phone

(706) 955-9224

Fax

(706) 955-9349

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Leann Gail Oldfield Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1942332887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 EXECUTIVE CENTER DRIVE SUITE 201",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309070951",
            "telephone_number": "706-955-9224",
            "fax_number": "706-955-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 EXECUTIVE CENTER DRIVE SUITE 201",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309070951",
            "telephone_number": "706-955-9224",
            "fax_number": "706-955-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN",
        "first_name": "LEANN",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "527365613A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEANN",
            "last_name": "OLDFIELD",
            "middle_name": "GAIL",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Brittany Johnson
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• Daz'Ja Johnson
• Kevin Johnson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.