MR. JEFFREY ALLAN OVERDORFF (NPI# 1316246044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316246044 |
Entity Type | Individual |
Full Name | MR. JEFFREY ALLAN OVERDORFF |
Credential | LPC |
Practice Address |
848 Hiram Acworth Hwy Hiram GA 30141-2286 |
Mailing Address |
1444 Wiltshire Cir Powder Springs GA 30127-1364 |
Practice Telephone | 4047693084 |
Practice Fax Number | 6786016292 |
Mailing Telephone | 4047693084 |
Mailing Fax Number | 6786016292 |
Enumeration Date | 2011-03-21 |
Last Update Date | 2017-11-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | LPC006329 | GA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 003107804B | 05 |
Street Address |
848 HIRAM ACWORTH HWY |
City | HIRAM |
State | GA |
Zip Code | 30141-2286 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609336940 | Lyresa Mcgriff | Counselor | 848 Hiram Acworth Hwy, Hiram, GA 30141-2286 | 2019-03-22 |
1235646134 | Family Center for Mindfulness and Resiliency | Counselor | 848 Hiram Acworth Hwy, Hiram, GA 30141-2286 | 2018-01-02 |
1881092914 | Andree Deloach Cox | Counselor | 848 Hiram Acworth Hwy, Suite 200, Hiram, GA 30141-2286 | 2014-12-05 |
1215331608 | Healing Solutions Wellness Center | Community/Behavioral Health | 848 Hiram Acworth Hwy, Suite 200, Hiram, GA 30141-2286 | 2014-10-15 |
1285993527 | J. Scott Maddox | Counselor | 848 Hiram Acworth Hwy, Hiram, GA 30141-6010 | 2012-05-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801255690 | Belinda Lett Baker | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5316 Jones Reserve Walk, Hiram, GA 30141 | 2016-02-22 |
1104213339 | Matthew Lee Estes | Nurse Practitioner | 148 Bill Carruth Pkwy Ste 220, Hiram, GA 30141 | 2015-04-26 |
1881088649 | Marietta Eye Clinic, Pa | Optometrist | 47 Highland Pavilion Ct, Suite 101, Hiram, GA 30141 | 2015-03-19 |
1902217417 | Hiram Dental Group, PC | Dentist | 5218 Jimmy Lee Smith Parkway, Suite 100, Hiram, GA 30141 | 2014-05-19 |
1912340613 | Anuj Patel | Orthopaedic Surgery | 148 Bill Carruth Parkway Suite 120, Hiram, GA 30141 | 2013-04-11 |
1619280278 | Thomas Wayne Bloodworth | Obstetrics & Gynecology | 6794 Bill Carruth Parkway, Hiram, GA 30141 | 2010-07-23 |
1487970026 | Madelynn Lorraine Speach | Counselor | 44 Darbys Crossing Dr Ste 206c, Hiram, GA 30141 | 2010-04-07 |
1679760433 | We Care Md, P.C. | Family Medicine | 5610 Wendy Bagwell Parkway, Suite 103, Hiram, GA 30141 | 2007-09-26 |
1811188121 | Holly L Watson | Nurse Practitioner | 156 Hiram Drive, Building B, Hiram, GA 30141 | 2007-08-05 |
1285842799 | Restoration Physical Therapy, LLC. | Clinic/Center | 5077 Jimmy Lee Smith Pkwy, Suite 119, Hiram, GA 30141 | 2007-05-18 |
Find all providers in zip 30141 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932718962 | Abundant Healing Pastoral Counseling | Counselor | 107 Enterprise Path Ste 306-2a, Hiram, GA 30141-2689 | 2020-07-27 |
1235646134 | Family Center for Mindfulness and Resiliency | Counselor | 848 Hiram Acworth Hwy, Hiram, GA 30141-2286 | 2018-01-02 |
1881040228 | Vickie Vaughn | Counselor | 126 Enterprise Path, Suite 201, Hiram, GA 30141-2656 | 2016-05-04 |
1689055485 | Theressa Maria Harrigan | Counselor | 19 River Rd, Hiram, ME 04041-3516 | 2015-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144829102 | Estefania Salinas | Counselor | 1565 Benton Blvd Apt 412, Savannah, GA 31407-0408 | 2020-10-21 |
1225636392 | Courtney Hampton | Counselor | 1800 Wesleyan Dr Apt 95, Macon, GA 31210-1075 | 2020-10-12 |
1063010247 | Jeffrey Heath Williamson | Counselor | 3350 Lansbury Village Dr Apt 2, Atlanta, GA 30341-5749 | 2020-10-11 |
1548868730 | Dynamic Change | Counselor | 2255 Cumberland Pkwy Se Ste 240, Atlanta, GA 30339-4515 | 2020-10-11 |
1871191023 | Nichole Harden-gresham | Counselor | 3837 Bay Orchard Ln, Loganville, GA 30052-6611 | 2020-10-10 |
1497362917 | Valerie Larkin | Counselor | 139 W Ellis Rd Ste A, Griffin, GA 30223-7149 | 2020-09-29 |
1700493798 | Nathaniel Johnson | Counselor | 612 Beretta Dr, Grovetown, GA 30813-2198 | 2020-09-24 |
1346857463 | Jefferson Counseling, LLC | Counselor | 20 Lee St Ste 5, Jefferson, GA 30549-6327 | 2020-09-24 |
1376158360 | Two Rivers Counseling and Psychological Services, LLC | Counselor | 72 Bonnie Reed Psge, Midway, GA 31320-4925 | 2020-09-15 |
1861007064 | Tara Tanksley Stallings | Counselor | 1734 Jenkins St, Augusta, GA 30904-3736 | 2020-09-14 |
Find all providers with the same taxonomy |
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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.