JENNIFER MCCLELLAN (NPI# 1558977694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558977694 |
| Entity Type | Individual |
| Full Name | JENNIFER MCCLELLAN |
| Credential | MA, NCC |
| Practice Address |
1815 Old 41 Hwy Nw Ste 110 Kennesaw GA 30152-4422 |
| Practice Telephone | 6784689103 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093017709 | Jennifer Lynn Mcclellan | Social Worker | 600 Industrial Pkwy Ste C, Heath, OH 43056-1528 | 2010-12-01 |
| 1306494828 | Jennifer Joyce Mcclellan | Counselor | 26 State Ave Ste 101, Carlisle, PA 17013-4457 | 2019-08-28 |
| 1003336587 | Jennifer Lauren Mcclellan | Specialist | 145 Huguenot St Ste 404, New Rochelle, NY 10801-5237 | 2017-06-26 |
| 1962557462 | Jennifer Mcclellan | Dental Assistant | 360 Nw Burnside Rd, Gresham, OR 97030-3852 | 2007-01-24 |
| Street Address |
1815 OLD 41 HWY NW STE 110 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30152-4422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760623995 | Laura Lee Baker | Counselor | 1815 Old 41 Hwy Nw Ste 110, Legacy Strategy Inc., Kennesaw, GA 30152-4422 | 2009-03-18 |
| 1962018747 | Hubert Pierce Tankersley IIi | Counselor | 1815 Old 41 Hwy Nw Ste 110, Kennesaw, GA 30152-4422 | 2020-09-17 |
| 1275003535 | Ariadne Crane | Counselor | 1815 Old 41 Hwy Nw Ste 110, Kennesaw, GA 30152-4422 | 2018-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821647124 | Ashley Dover | Nurse Practitioner | 1300 Ridenour Blvd, Suite 300, Kennesaw, GA 30152 | 2019-09-09 |
| 1205306891 | Lashanda Denise Moore | Nurse Practitioner | 1600 Kennesaw Due West Rd Nw #205, Kennesaw, GA 30152 | 2018-11-27 |
| 1265901094 | Focused Loving Home Care Services LLC | In Home Supportive Care | 2151 Marne Glen Nw, Kennesaw, GA 30152 | 2018-11-22 |
| 1083199152 | Raven Ashley Thomas | Behavioral Analyst | 1619 Collins Rd Nw Ste 500, Kennesaw, GA 30152 | 2018-09-25 |
| 1821592593 | Eseovhe Egborge PC | Clinic/Center | 1600 Kennesaw Due West Rd Nw Ste 205, Kennesaw, GA 30152 | 2018-03-19 |
| 1184143059 | Kennesaw Mountain Dental Associates | Dentist | 1815 Old 41 Hwy, Ste 310, Kennesaw, GA 30152 | 2017-09-12 |
| 1265955983 | Deborah Ruth Stern Compton | Registered Nurse | 1291 Stanley Rd., Kennesaw, GA 30152 | 2017-07-25 |
| 1912452939 | Mak Anesthesia Holdings LLC | Anesthesiology | 1300 Ridenour Blvd., Ste. 300, Kennesaw, GA 30152 | 2016-08-19 |
| 1528430279 | Tineka Nichol Wyckoff | Counselor | 1967 Lake Heights Circle, Kennesaw, GA 30152 | 2015-10-21 |
| 1669753992 | American Current Care Pa | Clinic/Center | 2953 Cobb Parkway, Suite 400, Kennesaw, GA 30152 | 2011-08-31 |
| Find all providers in zip 30152 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962027 | Evan Kauper | Counselor | 2002 Smith Dr Nw, Kennesaw, GA 30144-1851 | 2020-11-02 |
| 1851918999 | Faith and Hope Counseling Services LLC | Counselor | 1074 Cobb Place Blvd Nw # 301, Kennesaw, GA 30144-3671 | 2020-07-05 |
| 1003436338 | Christopher M Hall | Counselor | 2332 Holden Way Nw, Kennesaw, GA 30144-6063 | 2020-04-16 |
| 1114428695 | Foster4love Inc. | Counselor | 3745 Cherokee St Nw Ste 602, Kennesaw, GA 30144-6785 | 2018-02-21 |
| 1366970782 | Ellyce Diana Payne | Counselor | 6095 Pine Mountain Rd Nw Ste 105, Kennesaw, GA 30152-3332 | 2017-05-30 |
| 1366807505 | Lisa Harwell | Counselor | 1301 Shiloh Rd Nw Ste 811, Kennesaw, GA 30144-7156 | 2015-12-15 |
| 1528430279 | Tineka Nichol Wyckoff | Counselor | 1967 Lake Heights Circle, Kennesaw, GA 30152 | 2015-10-21 |
| 1811390594 | Lisa Karla Parker | Counselor | 1055 Shiloh Rd Nw, Ste. 311, Kennesaw, GA 30144 | 2014-10-08 |
| 1497099428 | Anna Mistretta-bradley | Counselor | 1301 Shiloh Rd Nw Ste 1810, Kennesaw, GA 30144-7171 | 2012-11-15 |
| 1871890269 | Kevin F Daly | Counselor | 5205 Stilesboro Rd Nw Ste 225, Kennesaw, GA 30152-7748 | 2011-02-21 |
| 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.