Active NPI 1043005440 Individual Practitioner Female Practitioner

Imani Jackson

Counselor - Professional • Atlanta, GA

Professional Overview & Biography Verified Profile Summary

Imani Jackson is a registered healthcare professional specializing in Counselor - Professional in Atlanta, GA. Practice services are available at 3455 PEACHTREE RD NE FL 5 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3455 Peachtree Rd Ne Fl 5

Atlanta, GA 303263254

Telephone 4159926155

Fax 6503606913

Associated Practice Facility / Clinic

🏢 Ga Sprout Mc 1 Llc Facility NPI 1831728039

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Atlanta, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 15.6 Yrs

State Avg: 15.6 Yrs

Regional Practice Density

878 Specialists

Practicing in Atlanta, GA (6655 Statewide)

Telehealth Adoption Rate

2.6% 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: 2025-04-14

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA APC010277

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners

Rebecca Meshkani

Marriage & Family Therapist

NPI 1003701400

Julia Mastrobuono

Marriage & Family Therapist

NPI 1003702325

Marion Rodriguez

Case Manager/Care Coordinator

NPI 1013518539

Monisha Brewer

Marriage & Family Therapist

NPI 1013770668

Lexington Hill

Marriage & Family Therapist

NPI 1033090295

Sofia Aguinaga

Counselor - Professional

NPI 1043006380

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 14, 2025

NPI status registered as active in NPPES database

📍

Updated Practice Location April 14, 2025

Registered at 3455 PEACHTREE RD NE FL 5, ATLANTA, GA 303263254 (Tel: 4159926155)

📍

Updated Business Mailing Address April 14, 2025

Registered at 447 SUTTER ST STE 405, SAN FRANCISCO, CA 941084618 (Tel: 4159926155)

👤

Provider Name / Credentials Updated April 14, 2025

Recorded as IMANI JACKSON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2025

Counselor (License #APC010277 in GA)

🟢

Initial NPI Registration & Enumeration April 14, 2025

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: 1043005440

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 14, 2025

Last Update: April 14, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

447 Sutter St Ste 405

San Francisco, CA 941084618

Phone: 4159926155

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.