MS. JENNIFER KIMMERLE (NPI# 1770738486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770738486 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER KIMMERLE |
| Credential | LMFT |
| Practice Address |
1254 Concord Rd Se 201 Smyrna GA 30080-4371 |
| Mailing Address |
6148 Bellewood Ash Ln Tucker GA 30084-8624 |
| Practice Telephone | 6787876721 |
| Practice Fax Number | 7709346086 |
| Mailing Telephone | 6787876721 |
| Mailing Fax Number | 7709346086 |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2011-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT001141 | GA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MFT00122 | RI | Behavioral Health & Social Service Providers |
| Street Address |
1254 CONCORD RD SE 201 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-4371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811164015 | Kim Mcpherson Greene | Registered Nurse | 1254 Concord Rd Se, Suite 204, Smyrna, GA 30080-4371 | 2008-05-15 |
| 1316239247 | Solution Focused Therapy Services | Clinic/Center | 1254 Concord Rd Se, 201, Smyrna, GA 30080-4371 | 2011-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| 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 |
|---|---|---|---|---|
| 1023453552 | Daniel Ferrell Haile | Marriage & Family Therapist | 437 Nissan Dr, Ste 500, Smyrna, TN 37167-4311 | 2013-05-10 |
| 1689964660 | Tania Maria Capparelli | Marriage & Family Therapist | 721 Park Manor Dr Se, Smyrna, GA 30082-2821 | 2011-04-12 |
| 1740597483 | Jumoke Ruth Otuno | Marriage & Family Therapist | 153 Front St, Smyrna, TN 37167-2816 | 2010-09-01 |
| 1700104692 | Robbie Robinson Hutchens | Marriage & Family Therapist | 103 Maple St, Smyrna, TN 37167-2631 | 2010-05-17 |
| 1477761732 | John William Harkins IIi | Marriage & Family Therapist | 111 Jeffrey Pl, Smyrna, GA 30082-3678 | 2007-05-19 |
| 1801926688 | Abbe Gail Delong | Marriage & Family Therapist | 98 Mayfield Dr Ste C, Smyrna, TN 37167-3035 | 2007-03-07 |
| 1154933430 | Maria Teresa Curtis | Marriage & Family Therapist | 1314 Concord Rd Se, Smyrna, GA 30080-4361 | 2020-08-19 |
| 1780164897 | Andrew D Phillips | Marriage & Family Therapist | 4045 Orchard Rd Se Ste 110, Smyrna, GA 30080-4904 | 2018-08-17 |
| 1821455742 | Center for Marriage & Family Health | Marriage & Family Therapist | 98 Mayfield Dr, Smyrna, TN 37167-3033 | 2016-01-22 |
| 1215332366 | Andrea Sheffield | Marriage & Family Therapist | 98 Mayfield Dr, Suite C, Smyrna, TN 37167-3033 | 2014-10-31 |
| Find all providers in SMYRNA | ||||
Please comment or provide details below to improve the information on MS. JENNIFER KIMMERLE.
| 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.