Jessica Greathouse, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

011401 Issued in GA

Practice address

1145 Zonolite Rd NE Ste 10
Atlanta, GA 30306-2017

Phone

(510) 967-2257

NPI assigned

Mar 12, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Lighthouse Holistic Wellness

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1063031011
  NPD Authorized official

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1982097150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 ZONOLITE RD NE STE 10",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303062017",
            "telephone_number": "678-984-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 ZONOLITE RD NE STE 10",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303062017",
            "telephone_number": "510-967-2257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8711 MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946054000",
            "country_code": "US",
            "telephone_number": "510-777-9909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREATHOUSE",
        "first_name": "JESSICA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "PCCI1912",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "011401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.simplepractice.com/?utm_source=google&utm_medium=cpc&utm_campaign=RC-Search-Brand-Exact&",
            "affiliation": "N",
            "endpointDescription": "simple practice platform",
            "address_1": "1145 Zonolite Rd NE Ste 10",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303062017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Greater Atlanta Psychiatric Associates,Inc
• Greater Choice Care LLC
• Greater Georgia Radiology
• Greater Goals ABA Corp
• Callie Janae Greathouse, RN
• Sarah Grebe, D.C.
• Katherine Elizabeth Greco, M.D.
• Lindsay E. Greco, ACNP
• Patrick Greco, D.C.
• Whitney Briggs Greco, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.