MR. JERRY WILLIE PICKENS (NPI# 1346383106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346383106 |
| Entity Type | Individual |
| Full Name | MR. JERRY WILLIE PICKENS |
| Other Name | JERRY WILLIE PICKENS |
| Credential | JERRY PICKENS |
| Practice Address |
2520 Peachtree Rd Nw Apt 116 116 Atlanta GA 30305-3617 |
| Practice Telephone | 4048468100 |
| Mailing Telephone | 4048468100 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 204 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740625060 | Jerry Pickens | Student in an Organized Health Care Education/Training Program | 9403 Mansfield Rd, Shreveport, LA 71118-3815 | 2013-04-30 |
| Street Address |
2520 PEACHTREE RD NW APT 116 116 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30305-3617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659981322 | Gerald E Roettger | Physical Therapist | 2955 Peachtree Road Nw, Suite A1, Atlanta, GA 30305 | 2020-08-06 |
| 1689202681 | Pt Hills Place Terraces LLC | Assisted Living Facility | 229 Peachtree Hills Place, Atlanta, GA 30305 | 2020-03-27 |
| 1043704299 | Alyssa Elrod Utz | Pharmacist | 3495 Piedmont Road, First Floor, Suite 110, Atlanta, GA 30305 | 2018-06-20 |
| 1508373689 | Kathryn Gohde | Counselor | 3525 Piedmont Rd Nw, Bldg 7 Suite 408, Atlanta, GA 30305 | 2018-01-10 |
| 1386195154 | Ryan Gabriel Wilkins | Physical Therapist | 550 Pharr Rd Ne Ste 550, Atlanta, GA 30305 | 2016-10-17 |
| 1821440587 | Monica Martinez Dicristina | Counselor | 3525 Piedmont Road, Building 7, Suite 408, Atlanta, GA 30305 | 2016-07-06 |
| 1164879532 | Brittany Nicole Albritton | Physical Therapist | 3169 Maple Drive Ne, Atlanta, GA 30305 | 2016-05-16 |
| 1588039275 | Alaina Blevins | Physician Assistant | 240 Pharr Rd Ne, Atlanta, GA 30305 | 2015-12-07 |
| 1558750141 | A2h2 | Clinic/Center | 2909 Peachtree Rd; Nw;, Atlanta, GA 30305 | 2015-01-20 |
| 1144619016 | We Up Home Health Services LLC | Clinic/Center | 2909 Peachtree Rd; Nw, Atlanta, GA 30305 | 2015-01-15 |
| Find all providers in zip 30305 | ||||
| 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 |
|---|---|---|---|---|
| 1861019846 | Britney Ledford | Marriage & Family Therapist | 1760 Northside Dr Nw Apt 104, Atlanta, GA 30318-2666 | 2020-06-25 |
| 1215556717 | Ronika Cotton | Marriage & Family Therapist | 2002 Summit Boulevard, Suite 300, Atlanta, GA 30319 | 2020-04-14 |
| 1457981938 | Kelly Grant Stephens | Marriage & Family Therapist | 4200 Northside Pkwy Nw Bldg 6, Atlanta, GA 30327-3007 | 2020-01-23 |
| 1457991085 | Emily Carol Sands | Marriage & Family Therapist | 685 Linwood Ave Ne Ste 200d, Atlanta, GA 30306-4437 | 2020-01-12 |
| 1013559947 | Patricia Mccall Corlew | Marriage & Family Therapist | 36 Old Ivy Sq Ne, Atlanta, GA 30342-4271 | 2019-10-11 |
| 1073168100 | Renee Michelle Roski-holdo | Marriage & Family Therapist | 1900 The Exchange Se Ste 180, Atlanta, GA 30339-2049 | 2019-08-06 |
| 1609343789 | Sydney Nicole Gaines | Marriage & Family Therapist | 2636 Mlk Jr Dr Sw Ste 12and24, Atlanta, GA 30311-1634 | 2018-10-26 |
| 1336638022 | Robert Carroll II | Marriage & Family Therapist | 2375 Shallowford Rd Ne, Atlanta, GA 30345-1342 | 2018-05-08 |
| 1730677626 | Natasha Nicole Powell | Marriage & Family Therapist | 427 Moreland Ave Ne Ste 300, Atlanta, GA 30307-1500 | 2018-04-25 |
| 1669972469 | Ashley Nicole Miller | Marriage & Family Therapist | 3333 Piedmont Rd Ne Ste 2050, Atlanta, GA 30305-1713 | 2018-02-19 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on MR. JERRY WILLIE PICKENS.
| 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.