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William Cottrell-Jackson , LPC, NCC

Counselor - Professional β€’ Athens, GA

Active NPI 1083171896 Individual Practitioner
Practice location in NPPES

888 Horizon Blvd Apt 314
Athens, GA 306061136

Call 4048058468 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

888 Horizon Blvd Apt 314

Athens, GA 306061136

Telephone 4048058468

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2017

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2019

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.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

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

Enrolled in Medicare (PECOS)

William Cottrell-Jackson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists William Cottrell-Jackson as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Athens and Georgia

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Athens

6.5% of these 123 clinicians have the CMS telehealth indicator.

14.6% of these 123 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: 2025-07-01
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES GA LPC012968
Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES MI 6401224328
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

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20250923000730

Enrollment State Jurisdiction

GA

PECOS Control ID

2860909876

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

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

16 Historical Events
πŸ“
Updated Practice Location July 01, 2025

Registered at 888 HORIZON BLVD APT 314, ATHENS, GA 306061136 (Tel: 4048058468)

πŸ“
Updated Business Mailing Address July 01, 2025

Registered at 888 HORIZON BLVD APT 314, ATHENS, GA 306061136 (Tel: 4048058468)

πŸ‘€
Provider Name / Credentials Updated July 01, 2025

Recorded as WILLIAM COTTRELL-JACKSON, LPC, NCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2025

Counselor (license number reported to NPPES: MI 6401224328)

πŸ“
Updated Practice Location October 07, 2024

Registered at 888 HORIZON BLVD APT 712, ATHENS, GA 306061183 (Tel: 4048058468)

πŸ“
Updated Business Mailing Address October 07, 2024

Registered at 888 HORIZON BLVD APT 712, ATHENS, GA 306061183 (Tel: 4048058468)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2024

Counselor

πŸ“
Updated Practice Location May 02, 2023

Registered at 10356 FALCON GATE LOOP APT 102, RIVERVIEW, FL 335695825 (Tel: 4044900221)

πŸ“
Updated Business Mailing Address May 02, 2023

Registered at 10356 FALCON GATE LOOP APT 102, RIVERVIEW, FL 335695825 (Tel: 4044900221)

πŸ‘€
Provider Name / Credentials Updated May 02, 2023

Recorded as WILLIAM COTTRELL-JACKSON, LPC

βœ…
NPI Profile Active February 28, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 28, 2019

Registered at 315 W PONCE DE LEON AVE STE 1055, DECATUR, GA 300302412 (Tel: 4048007586)

πŸ“
Business Mailing Address (Initial Record) February 28, 2019

Registered at 114 INDIANA AVE, ATHENS, GA 306052349 (Tel: 7063139748)

πŸ‘€
Provider Name / Credentials (Initial Record) February 28, 2019

Recorded as WILLIAM COTTRELL, LAPC, NCC, RYT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2019

Counselor (license number reported to NPPES: GA APC006552)

🟒
Initial NPI Registration & Enumeration February 28, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1083171896
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2019
Last Update: July 01, 2025
Sole Proprietor: Yes

Mailing Address

888 Horizon Blvd Apt 314

Athens, GA 306061136

Phone: 4048058468

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.