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MRS. JENNIFER CUMMINGS TILLERY LPC, NCC
NPI 1700268265
Counselor - Professional in Kennesaw, GA

Active since June 22, 2015
5150 STILESBORO RD NW, SUITE 430, KENNESAW, GA 30152(404) 433-6153 Get Directions Write a Review

NPPES record last updated: June 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jennifer Cummings Tillery Lpc, Ncc NPPES

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

MRS. JENNIFER CUMMINGS TILLERY LPC, NCC (NPI 1700268265) is an individual professional provider in Kennesaw, Georgia, licensed in Georgia (LPC008457) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1700268265
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. JENNIFER CUMMINGS TILLERYCredential: LPC, NCC
Location Address5150 STILESBORO RD NW, SUITE 430Kennesaw, GA 30152-7744
Mailing Address434 Shepard Dr SwMarietta, GA 30064-1560 · (404) 433-6153
Phone(404) 433-6153
Sole ProprietorYes
Enumeration DateJune 22, 2015
✔ NPI 1700268265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC008457
5150 STILESBORO RD NW, Kennesaw, GA 30152
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Other Providers at the Same Location NPPES 20

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

PATRICIA PHILLIPS SLP
Speech-Language Pathologist
5150 STILESBORO RD NW, SUITE 430
KENNESAW, GA 30152
Cobb County (770) 218-2300
BALANCED BODY WELLNESS CENTRE, LLC
Preferred Provider Organization
5150 STILESBORO RD NW, SUITE 420
KENNESAW, GA 30152
Cobb County (770) 425-6068
ELIZABETH POULSEN
Occupational Therapist
5150 STILESBORO RD NW, SUITE 430
KENNESAW, GA 30152
Cobb County (770) 218-2300
MR. MARK G STEVENS PT
Physical Therapist
5150 STILESBORO RD NW
KENNESAW, GA 30152
Cobb County (678) 354-6171
WELLSTAR MEDICAL GROUP, LLC
Pediatrics
5150 STILESBORO RD NW, SUITE 220
KENNESAW, GA 30152
Cobb County (770) 424-8222
ACWORTH FAMILY MEDICINE, PC
Clinic/Center (Primary Care)
5150 STILESBORO RD NW, SUITE 120
KENNESAW, GA 30152
Cobb County (678) 354-0230
JANNA HYDE
Occupational Therapist
5150 STILESBORO RD NW, SUITE 430
KENNESAW, GA 30152
Cobb County (770) 218-2300
DR. MANDY PHILLIPS RUDDELL
Counselor (Professional)
5150 STILESBORO RD NW, SUITE 100
KENNESAW, GA 30152
Cobb County (404) 680-3032

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 Jennifer Tillery's NPI number?

The NPI number for Jennifer Tillery is 1700268265. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Jennifer Tillery located?

Jennifer Tillery practices at 5150 Stilesboro Rd NW Suite 430, Kennesaw, GA 30152. The listed phone number is (404) 433-6153.

What is Jennifer Tillery's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennifer Tillery was last updated on June 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.