Jessica Durbin, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC013759 Issued in GA

Practice address

205 S Skinner Ave Unit B
Pooler, GA 31322-3221

Phone

(912) 349-8043

Fax

(912) 988-1204

NPI assigned

Apr 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  GA, Professional

  Medicare reassignment Care Compare group NPD
• Building Blocks Family Counseling

  • Marriage & Family Therapist
  • Pooler, GA
  • NPI 1487118543
  NPD (past)
• Moore Counseling and Consulting Services, LLC.

  • Marriage & Family Therapist
  • Pooler, GA
  • NPI 1548792682
  NPD (past)

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1972298594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S SKINNER AVE UNIT B",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313223221",
            "telephone_number": "912-349-8043",
            "fax_number": "912-988-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S SKINNER AVE UNIT B",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313223221",
            "telephone_number": "912-349-8043",
            "fax_number": "912-988-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURBIN",
        "first_name": "JESSICA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC007545",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Driggers
• Cheryl Heck Ducey, SLP-CCC
• Devlin Keomie Duckery, AU.D.
• Heather Marie Duffy, D.D.S
• Whitney Durant, BCBA
• Durden Consulting Services, LLC
• Tracy Ellen Durham, D.D.S.
• E.V Infusions, LLC
• Eagle'S Nest Truck Station, Inc
• Eagles Nest Truck Station Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.