MS. JESSICA CHARISE CANTEEN MED, MHC, LPC, CEP
NPI 1669056131
Counselor - Professional in Mableton, GA

Active since May 10, 2021PECOS Enrolled
5284 FLOYD RD SW UNIT 767, MABLETON, GA 30126(678) 460-6334 Get Directions Write a Review

NPPES record last updated: January 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2024, May 10, 2021 (2 updates tracked since 2021).

About Ms. Jessica Charise Canteen Med, Mhc, Lpc, Cep NPPES

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

MS. JESSICA CHARISE CANTEEN MED, MHC, LPC, CEP (NPI 1669056131) is an individual professional provider in Mableton, Georgia, licensed in Georgia (LPC012698) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669056131
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. JESSICA CHARISE CANTEENCredential: MED, MHC, LPC, CEP
Location Address5284 FLOYD RD SW UNIT 767Mableton, GA 30126-6107
Mailing Address5284 Floyd Rd Sw Unit 767Mableton, GA 30126-6107 · (678) 460-6334
Sole ProprietorNo
Enumeration DateMay 10, 2021
Last NPPES UpdateJanuary 18, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2025
NPI 1669056131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in GA · LPC012698 Licensed in NJ · 37PC00880500 Licensed in WA · LH61356267 Licensed in PA · PC014914
5284 FLOYD RD SW UNIT 767, Mableton, GA 30126

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Jessica Charise Canteen Med, Mhc, Lpc, Cep is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Canteen's NPI number?

The NPI number for Jessica Canteen is 1669056131. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Where is Jessica Canteen located?

Jessica Canteen practices at 5284 Floyd Rd SW Unit 767, Mableton, GA 30126. The listed phone number is (678) 460-6334.

What is Jessica Canteen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jessica Canteen enrolled in Medicare?

Yes. Jessica Canteen is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Canteen accept?

Health plans from UnitedHealthcare list Jessica Canteen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Canteen was last updated on January 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.