Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215310115 Individual Practitioner Male Practitioner

Donald Lee Jackson , LPC

Counselor • Statham, GA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Donald Jackson, LPC is a registered healthcare professional specializing in Counselor in Statham, GA. Official NPI practice address is registered at PO BOX 235.

Practice Location & Contact Primary Location

Practice Address

Po Box 235

Statham, GA 306660005

Telephone 7067052578

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Statham, GA

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

Practicing in Statham, 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: 2025-03-11
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License GA LPC008592

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.

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location March 11, 2025

Registered at PO BOX 235, STATHAM, GA 306660005 (Tel: 7067052578)

📍
Updated Business Mailing Address March 11, 2025

Registered at PO BOX 235, STATHAM, GA 306660005 (Tel: 7067052578)

👤
Provider Name / Credentials Updated March 11, 2025

Recorded as DONALD JACKSON, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2025

Counselor (License #LPC008592 in GA)

NPI Profile Active July 09, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2015

Registered at 1030 VILLAGE DR STE B, WATKINSVILLE, GA 306776004 (Tel: 7063109046)

📍
Updated Business Mailing Address July 09, 2015

Registered at 1191 CHRISTIAN DR, WATKINSVILLE, GA 306777009

👤
Provider Name / Credentials Updated July 09, 2015

Recorded as DONALD JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2015

Counselor (License #APC004843 in GA)

🟢
Initial NPI Registration & Enumeration July 09, 2015

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: 1215310115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2015
Last Update: March 11, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 235

Statham, GA 306660005

Phone: 7067052578

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.