JESSICA NOLL (NPI# 1104462951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104462951 |
| Entity Type | Individual |
| Full Name | JESSICA NOLL |
| Practice Address |
4255 Wade Green Rd Nw Ste 110 Kennesaw GA 30144-1762 |
| Mailing Address |
1836 Roswell St Se Apt 8305 Smyrna GA 30080-2355 |
| Practice Telephone | 4046402605 |
| Mailing Telephone | 4046402605 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT001545 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LMFT LICENSE | MFT001545 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750731485 | Jessica Noll | Speech-Language Pathologist | 40 Hilltop Dr, Etters, PA 17319 | 2016-06-14 |
| 1740797216 | Jessica Noll | Behavior Technician | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-05 |
| 1386929131 | Jessica Lee Noll | Nurse Practitioner | 9200 W Wisconsin Ave, Neoplastic Diseases, Milwaukee, WI 53226-3522 | 2011-10-12 |
| Street Address |
4255 WADE GREEN RD NW STE 110 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-1762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991679 | North Georgia Recovery Center LLC | Substance Abuse Rehabilitation Facility | 4255 Wade Green Rd Nw Ste 110, Kennesaw, GA 30144-1762 | 2020-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104358993 | Harbor of Love | Marriage & Family Therapist | 3950 Frey Rd Nw, #216, Kennesaw, GA 30144-5419 | 2017-03-30 |
| 1629466313 | Ashley Jackson | Marriage & Family Therapist | 3785 Town Square Cir Nw, Kennesaw, GA 30144-2377 | 2015-01-02 |
| 1205170917 | Marilyn Diane Pearce | Marriage & Family Therapist | 3105 Creekside Village Dr Nw Ste 801, Kennesaw, GA 30144-4218 | 2012-11-19 |
| 1447539960 | Madison Taylor West | Marriage & Family Therapist | 1690 Stone Village Ln Nw Ste 622, Kennesaw, GA 30152-7777 | 2011-08-15 |
| 1891260964 | Tara Dakin | Marriage & Family Therapist | 2985 Cherokee St Nw, Kennesaw, GA 30144-2863 | 2018-10-04 |
| 1942792346 | Partners In Wellness LLC | Marriage & Family Therapist | 1690 Stone Village Ln Nw Ste 622, Kennesaw, GA 30152-7777 | 2018-05-31 |
| 1184139149 | Jade Leighann Colwell | Marriage & Family Therapist | 6095 Pine Mountain Rd Nw Ste 105, Kennesaw, GA 30152-3332 | 2017-12-12 |
| 1225558281 | Gwendolyn Skinner | Marriage & Family Therapist | 1291 Stanley Rd Nw, Kennesaw, GA 30152-4359 | 2017-06-21 |
| 1811383383 | Kristin Sarah Chapman | Marriage & Family Therapist | 4255 Wade Green Rd Nw, Ste. 414, Kennesaw, GA 30144-1762 | 2015-04-12 |
| 1407280456 | Tanya L Gustafson | Marriage & Family Therapist | 1815 Old 41 Hwy Nw, Suite 110, Kennesaw, GA 30152-4420 | 2013-08-27 |
| Find all providers in KENNESAW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.