MRS. LORI KATHERINE JURKOVIC (NPI# 1851469076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851469076 |
| Entity Type | Individual |
| Full Name | MRS. LORI KATHERINE JURKOVIC |
| Credential | M.A., L.M.F.T. |
| Practice Address |
1513 Johnson Ferry Rd Suite T-1 Marietta GA 30062-8101 |
| Mailing Address |
1506 Willow Bnd Woodstock GA 30188-4640 |
| Practice Telephone | 7705781744 |
| Mailing Telephone | 4044014478 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 0627 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1513 JOHNSON FERRY RD SUITE T-1 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-8101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144213752 | Ronald Lee Burton | Dentist | 1513 Johnson Ferry Rd, Suite 190, Marietta, GA 30062-8123 | 2005-08-30 |
| 1487882809 | Joshua Burton | Dentist | 1513 Johnson Ferry Rd, Suite 190, Marietta, GA 30062-8101 | 2009-06-24 |
| 1649441882 | Center for Preventative Cardiovascular Care PC | Internal Medicine | 1513 Johnson Ferry Rd, Suite 175, Marietta, GA 30062-8101 | 2008-03-16 |
| 1184792319 | Gregory James Jurkovic | Psychologist | 1513 Johnson Ferry Rd, Suite T-1, Marietta, GA 30062-8101 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| 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 |
|---|---|---|---|---|
| 1871134338 | Kevin Morton | Marriage & Family Therapist | 1640 Powers Ferry Road, Se Bldg 21, Suite 300, Marietta, GA 30067-3006 | 2019-10-04 |
| 1689225898 | Carmen Bessant | Marriage & Family Therapist | 1640 Powers Ferry Rd Se Ste 175, Marietta, GA 30067-5491 | 2019-09-28 |
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1750891933 | Kelly Hindman | Marriage & Family Therapist | 2876 Johnson Ferry Rd Ste 150, Marietta, GA 30062-8324 | 2017-10-02 |
| 1164878401 | Svetlana Banegas | Marriage & Family Therapist | 70 Whitlock Pl Sw Ste 300, Marietta, GA 30064-3155 | 2016-05-05 |
| 1457739633 | Alisha Rorer | Marriage & Family Therapist | 1640 Powers Ferry Rd Se Bldg 18 Ste 175, Marietta, GA 30067 | 2015-05-08 |
| 1578985982 | Patricia Lyons | Marriage & Family Therapist | 3458 River Heights Xing Se, Marietta, GA 30067-4501 | 2014-01-21 |
| 1770851529 | Daniel L Lettenberger-klein | Marriage & Family Therapist | 1640 Powers Ferry Rd Se Ste 100, Marietta, GA 30067-5491 | 2011-12-08 |
| 1497081749 | Advanced Counseling Services, LLC | Marriage & Family Therapist | 2820 Lassiter Road, Suite A-150, Marietta, GA 30062 | 2009-10-21 |
| 1861512519 | Lynn E Seiser | Marriage & Family Therapist | 1469 Lynchburg Pl, Marietta, GA 30062-2063 | 2007-03-29 |
| Find all providers in MARIETTA | ||||
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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.