Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063996619 Individual Practitioner Male Practitioner

Jonathon Michael Pryor , LPC, LPCC

Counselor • Blackshear, GA

Professional Overview & Biography Verified Profile Summary

Jonathon Pryor, LPC, LPCC is a registered healthcare professional specializing in Counselor in Blackshear, GA. Practice services are available at 6692 TANGLEWOOD DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6692 Tanglewood Dr

Blackshear, GA 315167530

Telephone 9125902981
Associated Practice Facility / Clinic
🏢 Big Umbrella Counseling Facility NPI 1437805579

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Blackshear, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Blackshear, GA (1557 Statewide)

Telehealth Adoption Rate
0.0% 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: 2024-08-19
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License GA LPC010482

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License CA 16923

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1063996619 (GA)

Secondary Practice Locations

1000 G St Ste 125

Sacramento, CA 958140894

Phone: 8888788595

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location August 19, 2024

Registered at 6692 TANGLEWOOD DR, BLACKSHEAR, GA 315167530 (Tel: 9125902981)

👤
Provider Name / Credentials Updated August 19, 2024

Recorded as JONATHON PRYOR, LPC, LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2024

Counselor (License #16923 in CA)

📍
Updated Practice Location February 28, 2022

Registered at 6959 HACKLEBARNEY RD, BLACKSHEAR, GA 315164692 (Tel: 9125902981)

📍
Updated Business Mailing Address February 28, 2022

Registered at PO BOX 1884, WAYCROSS, GA 315021884 (Tel: 9125902981)

👤
Provider Name / Credentials Updated October 31, 2018

Recorded as JONATHON PRYOR, LPC

NPI Profile Active September 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 19, 2018

Registered at 1007 MARY ST, WAYCROSS, GA 315033823 (Tel: 9124497100)

📍
Updated Business Mailing Address September 19, 2018

Registered at 1007 MARY ST, WAYCROSS, GA 315033823

👤
Provider Name / Credentials Updated September 19, 2018

Recorded as JONATHAN PRYOR, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2018

Counselor (License #LPC010482 in GA)

🟢
Initial NPI Registration & Enumeration September 19, 2018

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: 1063996619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2018
Last Update: August 19, 2024
Sole Proprietor: No

Mailing Address

Po Box 1884

Waycross, GA 315021884

Phone: 9125902981

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.