Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jonathan Smith , LPC

Counselor - Professional β€’ Acworth, GA

Active NPI 1851912208 Individual Practitioner Male Practitioner
Practice location in NPPES

3459 Acworth Due West Rd Nw Ste 210
Acworth, GA 301015826

Call 7706483618 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3459 Acworth Due West Rd Nw Ste 210

Acworth, GA 301015826

Telephone 7706483618
Organization at the Same NPPES Address or Phone
Atlanta Wellness Collective, Llc Facility NPI 1568146397

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Acworth, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Acworth and Georgia

41 active clinicians are listed under Counselor - Professional with a practice address in Acworth, GA (6,500 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Acworth

0% of these 41 clinicians have the CMS telehealth indicator.

2.4% of these 41 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-16
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES GA LPC012381
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Secondary Practice Locations

4711 Hickory Bend Dr Nw

Acworth, GA 301026340

Phone: 9256836761

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 16, 2024

Registered at 3459 ACWORTH DUE WEST RD NW STE 210, ACWORTH, GA 301015826 (Tel: 7706483618)

πŸ‘€
Provider Name / Credentials Updated January 16, 2024

Recorded as JONATHAN SMITH, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2024

Counselor (license number reported to NPPES: GA LPC012381)

βœ…
NPI Profile Active April 27, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 27, 2020

Registered at 4711 HICKORY BEND DR NW, ACWORTH, GA 301026340 (Tel: 9256836761)

πŸ“
Business Mailing Address (Initial Record) April 27, 2020

Registered at 4711 HICKORY BEND DR NW, ACWORTH, GA 301026340

πŸ‘€
Provider Name / Credentials (Initial Record) April 27, 2020

Recorded as JONATHAN SMITH, APC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2020

Counselor

🟒
Initial NPI Registration & Enumeration April 27, 2020

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1851912208
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2020
Last Update: January 16, 2024
Sole Proprietor: Yes

Mailing Address

4711 Hickory Bend Dr Nw

Acworth, GA 301026340

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.