Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Nicole Rose, LPC

Individual provider Professional Counselor · NPI 1710849641

Jennifer Nicole Rose, LPC is a Mental Health Counselor in Kennesaw, Georgia. Qualified in 2005, 21 years ago. Licensed in Georgia.

Years since qualifying
21
Licensed in
GA
In the registry since
2025
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4255 Wade Green Rd NW Ste 414
Kennesaw, GA 30144-1763
Phone: (678) 213-2194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC006451 (GA)

Record details

NPI number1710849641
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedDecember 1, 2025
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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