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JESSICA KOALENZ NCC, APC
NPI 1073036273
Counselor - Mental Health in Hiram, GA

Active since July 19, 2017Opted out of Medicare · through Mar 18, 2028
107 ENTERPRISE PATH, SUITE 305-2, HIRAM, GA 30141(678) 896-8959 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 19, 2017 (2 updates tracked since 2017).

About Jessica Koalenz Ncc, Apc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA KOALENZ NCC, APC (NPI 1073036273) is an individual mental health provider in Hiram, Georgia and active in the NPI registry since July 2017. She has opted out of Medicare through March 18, 2028.

NPPES Registry Identity

NPI1073036273
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA KOALENZCredential: NCC, APC
Location Address107 ENTERPRISE PATH, SUITE 305-2Hiram, GA 30141
Mailing Address107 Enterprise Path Ste 305-2Hiram, GA 30141-2689 · (678) 896-8959
Phone(678) 896-8959
Sole ProprietorYes
Enumeration DateJuly 19, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1073036273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
107 ENTERPRISE PATH, Hiram, GA 30141
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Koalenz Ncc, Apc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 18, 2024 through March 18, 2028.

Opt-Out Effective DateMarch 18, 2024
Opt-Out In Effect ThroughMarch 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOSEPH B ADAMS JR. LPC
Counselor (Professional)
107 ENTERPRISE PATH, SUITE 305
HIRAM, GA 30141
Paulding County (404) 539-6473
RESILIENCE FACTOR COUNSELING AND EDUCATION LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
107 ENTERPRISE PATH
HIRAM, GA 30141
Paulding County (404) 539-6473
VANESSA H BONAPARTE LPC
Counselor (Professional)
107 ENTERPRISE PATH, SUITE 305
HIRAM, GA 30141
Paulding County (678) 653-8739

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Koalenz's NPI number?

The NPI number for Jessica Koalenz is 1073036273. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Where is Jessica Koalenz located?

Jessica Koalenz practices at 107 Enterprise Path Suite 305-2, Hiram, GA 30141. The listed phone number is (678) 896-8959.

What is Jessica Koalenz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jessica Koalenz enrolled in Medicare?

No. Jessica Koalenz has opted out of Medicare through March 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jessica Koalenz was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.