Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821495961 Individual Practitioner Female Practitioner

Dr. Tonjanika Jackson , PhD

Counselor - Professional • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Tonjanika Jackson, PhD is a registered healthcare professional specializing in Counselor - Professional in Augusta, GA. Practice services are available at 3633 WHEELER RD STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3633 Wheeler Rd Ste 100

Augusta, GA 309096550

Telephone 7063640252
Fax 7063640269
Associated Practice Facility / Clinic
🏢 Jacksons Counseling Services Facility NPI 1598206674

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.6 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
195 Specialists

Practicing in Augusta, GA (6655 Statewide)

Telehealth Adoption Rate
1.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-11-30
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC006878

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License GA CPD0044

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Npi
1518487529 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Amy Simons , MED

Counselor - Professional

NPI 1053533943

Master of Education

Leigh Stephens , LPC, NCC

Counselor - Professional

NPI 1144560855

Licensed Professional Counselor, National Certified Counselor

John Wright , LCSW

Social Worker - Clinical

NPI 1184788192

Licensed Clinical Social Worker

Deborah Blanchard , LPC

Counselor - Mental Health

NPI 1518994680

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 30, 2020

Registered at 3633 WHEELER RD STE 100, AUGUSTA, GA 309096550 (Tel: 7063640252)

📍
Updated Business Mailing Address November 30, 2020

Registered at 3633 WHEELER RD STE 100, AUGUSTA, GA 309096550 (Tel: 7063640252)

NPI Profile Active December 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 03, 2014

Registered at 4122 PINNACLE WAY, HEPHZIBAH, GA 308156152 (Tel: 7067728079)

📍
Updated Business Mailing Address December 03, 2014

Registered at 4122 PINNACLE WAY, HEPHZIBAH, GA 308156152 (Tel: 7067728079)

👤
Provider Name / Credentials Updated December 03, 2014

Recorded as TONJANIKA JACKSON, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2014

Counselor (License #CPD0044 in GA)

🟢
Initial NPI Registration & Enumeration December 03, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821495961
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2014
Last Update: November 30, 2020
Sole Proprietor: Yes

Mailing Address

3633 Wheeler Rd Ste 100

Augusta, GA 309096550

Phone: 7063640252

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.