DR. JENNIFER KEITH (NPI# 1346377611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346377611 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER KEITH |
| Other Name | JENNIFER KEITH BOONE |
| Credential | PSY.D. |
| Practice Address |
315 W Ponce De Leon Ave Suite 440 Decatur GA 30030-2400 |
| Mailing Address |
1281 Oldfield Rd Decatur GA 30030-4581 |
| Practice Telephone | 4045854940 |
| Mailing Telephone | 4042740387 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2015-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PSY002996 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275815029 | Jennifer Keith | Physical Therapist | 6320 Douglas Pkwy, Hallsville, MO 65255-8922 | 2011-09-16 |
| 1386294031 | Jennifer Alene Keith | Registered Nurse | 12200 Warwick Blvd Ste 290, Newport News, VA 23601-2344 | 2019-09-16 |
| 1699333500 | Jennifer Laurel Keith | Case Manager/Care Coordinator | 1901 Westbank Expy Ste 550, Harvey, LA 70058-4362 | 2019-06-05 |
| 1689158388 | Jennifer Lynn Keith | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811-3241 | 2018-09-18 |
| 1275015901 | Jennifer Keith | Physician Assistant | 2907 S Mcintire Dr, Bloomington, IN 47403-4225 | 2018-08-29 |
| 1891212635 | Jennifer A Keith | Speech-Language Pathologist | 3156 Glenmore Ave, Cincinnati, OH 45211-6449 | 2017-08-23 |
| 1467905158 | Jennifer Keith | Physical Therapist | 2415 Professional Dr, Rocky Mount, NC 27804-2254 | 2016-07-28 |
| 1740653039 | Jennifer Keith | Licensed Practical Nurse | 600 N Murray St, Gainesboro, TN 38562-9313 | 2015-11-09 |
| 1710380134 | Jennifer Keith | Pharmacist | 2003 Davidsonville Rd, Crofton, MD 21114-1317 | 2014-09-30 |
| 1962843532 | Jennifer Keith | Counselor | 241 Greenhouse Rd, Lexington, VA 24450-3717 | 2013-07-11 |
| Street Address |
315 W PONCE DE LEON AVE SUITE 440 |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902878853 | Sharman Dyan Colosetti | Social Worker | 315 W Ponce De Leon Ave, Suite 840, Decatur, GA 30030-2400 | 2006-02-05 |
| 1063045748 | Jacqueline Frances Conway | Counselor | 315 W Ponce De Leon Ave, Decatur, GA 30030-2400 | 2020-02-20 |
| 1821621533 | Lewis Ponzo | Counselor | 315 W Ponce De Leon Ave, Decatur, GA 30030-2400 | 2020-02-20 |
| 1114429412 | Revere Counseling and Care Management LLC | Social Worker | 315 W Ponce De Leon Ave, Suite 370, Decatur, GA 30030 | 2018-03-02 |
| 1689182263 | Stephanie Lynn Roach | Social Worker | 315 W Ponce De Leon Ave, Suite 370, Decatur, GA 30033 | 2018-01-17 |
| 1659804300 | Authentic Living | Counselor | 315 W Ponce De Leon Ave, Suite 835, Decatur, GA 30030-2400 | 2017-04-10 |
| 1205379773 | Katie Leikam | Social Worker | 315 W Ponce De Leon Ave, Suite 847, Decatur, GA 30030-2400 | 2016-11-30 |
| 1144680562 | Sarra Everett | Counselor | 315 W Ponce De Leon Ave, Suit 440, Decatur, GA 30030-2400 | 2016-02-26 |
| 1821495987 | Byers Psychological Services LLC | Psychologist | 315 W Ponce De Leon Ave, Suite 1051, Decatur, GA 30030-2400 | 2014-12-04 |
| 1205182151 | Rainbow Counseling & Consultation Services LLC | Psychologist | 315 W Ponce De Leon Ave, Decatur Court Ste 552, Decatur, GA 30030-2400 | 2012-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598098949 | Lynyetta G Willis | Psychologist | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2009-09-16 |
| 1619177409 | Shirley Jean Jordan | Psychologist | 506 N Miller St, Decatur, TX 76234-1114 | 2007-07-20 |
| 1245285295 | Mark Jacob | Psychologist | 801 Church Street, Suite 1, Decatur, AL 35602 | 2006-05-24 |
| 1952393308 | Michal Ann O'leary | Psychologist | 1945 Mason Mill Rd, Suite 100, Decatur, GA 30033-4006 | 2005-08-20 |
| 1548269418 | Cynthia Kay Valley | Psychologist | 1549 Clairmont Rd, Suite 108, Decatur, GA 30033-4639 | 2005-07-21 |
| 1841807591 | Mallorie Gayle Carroll | Psychologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-09-28 |
| 1164036570 | Rachel Heatherly | Psychologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-09-02 |
| 1033462486 | Karuna Counseling, Inc. | Psychologist | 1945 Mason Mill Rd Ste 100, Decatur, GA 30033-4075 | 2012-10-23 |
| 1093087876 | Kathryn Ganske | Psychologist | 1549 Clairmont Rd, Suite 108, Decatur, GA 30033-4639 | 2012-02-08 |
| 1073807608 | Alaycia Deneen Reid | Psychologist | 315 W Ponce De Leon Ave, Decatur Court, Suite 552, Decatur, GA 30030-2400 | 2011-05-31 |
| Find all providers in DECATUR | ||||
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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.