Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386915494 Individual Practitioner Female Practitioner

Emily Nanette Jackson , LPC, NCC, CSOTS

Counselor - Professional • Lagrange, GA

Professional Overview & Biography Verified Profile Summary

Emily Jackson, LPC, NCC, CSOTS is a registered healthcare professional specializing in Counselor - Professional in Lagrange, GA. Practice services are available at 200 N LEWIS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 N Lewis St

Lagrange, GA 302402738

Telephone 7068875787
Fax 7067805402
Associated Practice Facility / Clinic
🏢 Enj Counseling, Llc Facility NPI 1902320542

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Lagrange, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.2 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
56 Specialists

Practicing in Lagrange, GA (6655 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: 2020-03-04
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC006931

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License GA LPC006931

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
003215089A (GA)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Jordan Child , LMFT

Marriage & Family Therapist

NPI 1558753889

Licensed Marriage and Family Therapist

Kitrina Bush , LPC

Counselor - Professional

NPI 1770059354

Licensed Professional Counselor

Courtney Chandler , LPC

Counselor - Professional

NPI 1871042739

Licensed Professional Counselor

Deborah Butler

Nurse Practitioner - Family

NPI 1891178745

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location March 04, 2020

Registered at 200 N LEWIS ST, LAGRANGE, GA 302402738 (Tel: 7068875787)

📍
Updated Business Mailing Address March 04, 2020

Registered at 200 N LEWIS ST, LAGRANGE, GA 302402738 (Tel: 7068875787)

📍
Updated Practice Location June 14, 2018

Registered at 104 HARWELL AVE, LAGRANGE, GA 30240 (Tel: 7064150164)

NPI Profile Active July 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2017

Registered at 104 HARWELL AVE, LAGRANGE, GA 302403132 (Tel: 7068850111)

📍
Updated Business Mailing Address July 19, 2017

Registered at 371 ROSEMONT RD, LAGRANGE, GA 302419544 (Tel: (706) 884-4575)

👤
Provider Name / Credentials Updated July 19, 2017

Recorded as EMILY JACKSON, LPC, NCC, CSOTS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2017

Counselor (License #LPC006931 in GA)

NPI Profile Active September 09, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 09, 2014

Registered at 1025 1ST AVE, COLUMBUS, GA 319012401 (Tel: 7062560790)

📍
Updated Business Mailing Address September 09, 2014

Registered at 1025 1ST AVE, COLUMBUS, GA 319012401 (Tel: 7062560790)

👤
Provider Name / Credentials Updated September 09, 2014

Recorded as EMILY JACKSON, LPC, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2014

Counselor (License #LPC006931 in GA)

🟢
Initial NPI Registration & Enumeration January 20, 2012

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: 1386915494
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2012
Last Update: March 04, 2020
Sole Proprietor: Yes

Mailing Address

200 N Lewis St

Lagrange, GA 302402738

Phone: 7068875787

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.