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Active NPI 1245936046 Individual Practitioner Female Practitioner

Jill Hendricks , EDS, LPC

Counselor - Professional • Carrollton, GA

Professional Overview & Biography Verified Profile Summary

Jill Hendricks, EDS, LPC is a registered healthcare professional specializing in Counselor - Professional in Carrollton, GA. Practice services are available at 106 MISTY HOLLOW DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

106 Misty Hollow Dr

Carrollton, GA 301168803

Telephone 7708800233

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Carrollton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.1 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
68 Specialists

Practicing in Carrollton, GA (6655 Statewide)

Telehealth Adoption Rate
2.9% 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: 2023-02-02
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC006290

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Licensed Professional Counselor
LPC006290 (GA)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 02, 2023

NPI status registered as active in NPPES database

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Updated Practice Location February 02, 2023

Registered at 106 MISTY HOLLOW DR, CARROLLTON, GA 301168803 (Tel: 7708800233)

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Updated Business Mailing Address February 02, 2023

Registered at 106 MISTY HOLLOW DR, CARROLLTON, GA 301168803 (Tel: 7708800233)

👤
Provider Name / Credentials Updated February 02, 2023

Recorded as JILL HENDRICKS, ED.S.,LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2023

Counselor (License #LPC006290 in GA)

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Initial NPI Registration & Enumeration February 02, 2023

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: 1245936046
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2023
Last Update: February 02, 2023
Sole Proprietor: Yes

Mailing Address

106 Misty Hollow Dr

Carrollton, GA 301168803

Phone: 7708800233

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.