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Active NPI 1457388019 Individual Practitioner Male Practitioner

Dr. Jackson Patten Rainer , PhD

Psychologist - Counseling • Brookhaven, GA

Professional Overview & Biography Verified Profile Summary

Dr. Jackson Rainer, PhD is a registered healthcare professional specializing in Psychologist - Counseling in Brookhaven, GA. Practice services are available at 3103 CLAIRMONT RD NE STE B under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3103 Clairmont Rd Ne Ste B

Brookhaven, GA 303291043

Telephone 4046361457
Fax 4046367449
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Counseling in Brookhaven, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Brookhaven, GA (192 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
15.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
122 13 $155.87 $131.28

Medical Specialties & State Licenses

CMS Verified: 2021-10-13
Psychologist - Counseling Primary Specialty

NUCC Taxonomy Code: 103TC1900X

State License GA 1142

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ptan
202G704720 (GA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jacob Dreiling

Counselor - Professional

NPI 1013567486
Stefanie Hughes , LMFT

Marriage & Family Therapist

NPI 1033481114

Licensed Marriage and Family Therapist

Amy Graves , MA

Counselor - Addiction (Substance Use Disorder)

NPI 1033857198

Master of Arts

Carrie Lauchlan , LPC

Counselor - Professional

NPI 1063758381

Licensed Professional Counselor

Leila Abidi

Counselor - Mental Health

NPI 1093449902
Stephanie Yates-Anyabwile

Marriage & Family Therapist

NPI 1114565892

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 13, 2021

Registered at 3103 CLAIRMONT RD NE STE B, BROOKHAVEN, GA 303291043 (Tel: 4046361457)

📍
Updated Business Mailing Address October 13, 2021

Registered at 1017 FAYETTEVILLE RD SE STE A, ATLANTA, GA 303162932 (Tel: 4046361457)

NPI Profile Active October 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 23, 2014

Registered at 1814 CLAIRMONT RD, DECATUR, GA 300333405 (Tel: 4046361457)

📍
Updated Business Mailing Address October 23, 2014

Registered at 1814 CLAIRMONT RD, DECATUR, GA 300333405 (Tel: 4046361457)

👤
Provider Name / Credentials Updated October 23, 2014

Recorded as JACKSON RAINER, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2014

Psychologist (License #1142 in GA)

🟢
Initial NPI Registration & Enumeration June 27, 2006

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: 1457388019
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2006
Last Update: October 13, 2021
Sole Proprietor: No

Mailing Address

1017 Fayetteville Rd Se Ste A

Atlanta, GA 303162932

Phone: 4046361457

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.