MS. JENNIFER REBECCA TARDELLI


Address: 1164 N Highland Ave Ne, Atlanta, GA 30306-3448
Phone: 4047330383

MS. JENNIFER REBECCA TARDELLI (NPI# 1912201849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912201849
Entity Type Individual
Full Name MS. JENNIFER REBECCA TARDELLI
Credential LPC, LMHC
Practice Address 1164 N Highland Ave Ne
Atlanta
GA 30306-3448
Mailing Address 1074 Rosewood Dr Ne
Atlanta
GA 30306-3553
Practice Telephone 4047330383
Mailing Telephone 4047330383
Enumeration Date 2011-01-07
Last Update Date 2011-01-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
LH 00008617 WA Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
LPC004551 GA Behavioral Health & Social Service Providers

Office Location

Street Address 1164 N HIGHLAND AVE NE
City ATLANTA
State GA
Zip Code 30306-3448

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790164168 Kimberley Nicole Speake Dietitian, Registered 1164 N Highland Ave Ne, Atlanta, GA 30306-3448 2015-05-19
1396183190 Pea Pod Nutrition and Lactation Support Dietitian, Registered 1164 N Highland Ave Ne, Atlanta, GA 30306-3448 2013-06-13
1306281472 Alicia C Simpson Nutritionist 1164 N Highland Ave Ne, Atlanta, GA 30306-3448 2013-05-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750900858 Jill Driver Chiropractor 1390 Lanier Blvd Ne, 1409-a, Atlanta, GA 30306 2020-04-09
1447737697 Heather Nicole Vansau Speech-Language Pathologist 1272 Stillwood Dr Ne, Atlanta, GA 30306 2018-07-20
1871095919 Michelle Ruth Orovitz Nurse Practitioner 1140 Briarcliff Rd Ne Apt 1, Atlanta, GA 30306 2018-03-05
1497261960 Rockwell Oral and Facial Surgery LLC Dentist 675 N. Highland Ave Ne, Suite 100, Atlanta, GA 30306 2017-12-20
1518414101 David Alan Sturgess Jr. Counselor 696 Courtenay Dr, Ne, Atlanta, GA 30306 2016-09-01
1952778565 Kristen Jugs Speech-Language Pathologist 609 Virginia Ave Ne Apt 4108, None, Atlanta, GA 30306 2015-08-31
1962749655 Robert B Tersak Pharmacist 1001 Ponce De Leon Avenue Ne, Atlanta, GA 30306 2013-01-15
1730434812 Poonam Bhakta Hurley Physical Therapist 842 N Highland Ave Ne Ste Ter, Atlanta, GA 30306 2012-07-16
1609158963 Centers for Disease Control and Prevention, Us Public Health Service Public Health or Welfare 1600 Clifton Rd, Ms E46, Atlanta, GA 30306 2011-09-13
1598045965 April Kooy Physician Assistant 1000 Briarcliff Road Ne, Atlanta, GA 30306 2011-08-17
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1356940712 Shoshana Dayanim Agichtein Counselor 1380 Jody Ln Ne, Atlanta, GA 30329-3522 2020-10-18
1285231951 Mecall Pearson Counselor 1350 Spring St Nw Ste 225, Atlanta, GA 30309-2866 2020-10-06
1447862172 Dr. Burwell Speaks, LLC Counselor 3495 Buckhead Loop Ne Ste 1112, Atlanta, GA 30326-1528 2020-08-24
1386254761 Jocelyn Patterson Mosley Counselor 2030 Gramercy Cir, Atlanta, GA 30341-1779 2020-07-31
1205444718 Vanessa Lorraine Elizabeth Johnson Counselor 1388 Gates Cir Se, Atlanta, GA 30316-4092 2020-07-21
1891303426 Cheryl E Williams Counselor 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 2020-07-20
1376161760 Lisa J Strube Counselor 49 Lenox Pointe Ne Ste C, Atlanta, GA 30324-7426 2020-07-11
1881210201 Destiny Winters Counselor 900 Dekalb Ave Ne Ste K, Atlanta, GA 30307-2501 2020-06-22
1912522582 Dorian Ellis Counselor 5470 Lemoyne Dr Sw, Atlanta, GA 30331-9206 2020-06-10
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Competitor

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City ATLANTA
Zip Code 30306

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Dataset Information

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.

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