JENNIFER POORE – Professional Counselor, NPI 1093013005

JENNIFER POORE is a healthcare provider. based in Albany, Georgia. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. LPC009959 (GA). The NPI Number for JENNIFER POORE is 1093013005

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER POORE
NPI
1093013005
Phone
(229) 430-5100
Address
2500 DAWSON RD STE 101
Enumeration Date
1 March 2011
Last Update Date
16 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3059026347
Graduation Year
2013 (13 years ago)
PAC ID
7517310907
Group Practice PAC ID
9537586052
Professional Enrollment ID
I20240201002634
Address ID
GA300192197DA114XXCTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,200 MENTAL HEALTH COUNSELOR in GA

Provider Addresses for JENNIFER POORE

  • 2500 DAWSON RD STE 101

    ALBANY, GA 317071326

    Phone: (229) 430-5100

    Type: Mailing

  • 5965 S 900 E

    Salt Lake City, UT 841211720

    Phone: (801) 263-7100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240201002634IMental Health CounselorGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31707)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537586052View full group profile
NameSpecialtyState
Nurse PractitionerOH
Mental Health CounselorTX
Mental Health CounselorTX
Clinical Social WorkerOH
Clinical Social WorkerIL
Mental Health CounselorTX
Mental Health CounselorTX
Mental Health CounselorIL
Mental Health CounselorTX
Nurse PractitionerIL

Reviews

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Frequently asked questions

Is there an official ID for JENNIFER POORE in U.S. healthcare records?
The official identifier for JENNIFER POORE is NPI 1093013005.
Would JENNIFER POORE appear as active to a payer?
You can treat JENNIFER POORE as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JENNIFER POORE's focus?
For JENNIFER POORE, the primary taxonomy reads as Professional Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JENNIFER POORE?
Travel planning: use Albany, Georgia as the reference point for JENNIFER POORE, then confirm.
When was this NPI issued?
Enumeration for JENNIFER POORE is noted as March 1, 2011 where the registry provides it.

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