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Active NPI 1386996643 Individual Practitioner Female Practitioner

Junetta Watson , LPC

Counselor - Professional • Tifton, GA

Professional Overview & Biography Verified Profile Summary

Junetta Watson, LPC is a registered healthcare professional specializing in Counselor - Professional in Tifton, GA. Practice services are available at 334 TIFTON ELDORADO RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

334 Tifton Eldorado Rd

Tifton, GA 317949497

Telephone 2293912300
Fax 2296716774
Associated Practice Facility / Clinic
🏢 South Georgia Csb Facility NPI 1558457655

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Tifton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
11 Specialists

Practicing in Tifton, 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA 006968

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
006968 (GA)

Practice Associates & Co-Workers

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

17 Associated Practitioners
Amanda Cofield , LCSW

Social Worker - Clinical

NPI 1043844418

Licensed Clinical Social Worker

Alex Harper , LMSW

Social Worker

NPI 1083944888

Licensed Master Social Worker

James Seman , LMFT

Marriage & Family Therapist

NPI 1104101450

Licensed Marriage and Family Therapist

NPI 1144657420

Licensed Master Social Worker

Davina Samuel , LPC

Counselor - Professional

NPI 1265976435

Licensed Professional Counselor

NPI 1275090086

Licensed Master Social Worker, CADCII

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2012

Registered at 334 TIFTON ELDORADO RD, TIFTON, GA 317949497 (Tel: 2293912300)

📍
Updated Business Mailing Address October 11, 2012

Registered at 3120 N OAK ST, VALDOSTA, GA 316021003 (Tel: 2296716100)

👤
Provider Name / Credentials Updated October 11, 2012

Recorded as JUNETTA WATSON, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2012

Counselor (License #006968 in GA)

🟢
Initial NPI Registration & Enumeration October 11, 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: 1386996643
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2012
Last Update: October 11, 2012
Sole Proprietor: Yes

Mailing Address

3120 N Oak St

Valdosta, GA 316021003

Phone: 2296716100

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.