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Emily Nanette Jackson , LPC, NCC, CSOTS

Counselor - Professional β€’ Lagrange, GA

Active NPI 1386915494 Individual Practitioner Female Practitioner
Practice location in NPPES

200 N Lewis St
Lagrange, GA 302402738

Call 7068875787 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

200 N Lewis St

Lagrange, GA 302402738

Telephone 7068875787
Fax 7067805402
Organization at the Same NPPES Address or Phone
Enj Counseling, Llc Facility NPI 1902320542

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

NPI first issued

2012

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 Lagrange and Georgia

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lagrange

0% of these 56 clinicians have the CMS telehealth indicator.

3.6% of these 56 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: 2020-03-04
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES GA LPC006931
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES GA LPC006931
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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
003215089A (GA)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Deborah Butler

Nurse Practitioner - Family

NPI 1891178745

Career & Practice History Timeline

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

14 Historical Events
πŸ“
Updated Practice Location March 04, 2020

Registered at 200 N LEWIS ST, LAGRANGE, GA 302402738 (Tel: 7068875787)

πŸ“
Updated Business Mailing Address March 04, 2020

Registered at 200 N LEWIS ST, LAGRANGE, GA 302402738 (Tel: 7068875787)

πŸ“
Updated Practice Location June 14, 2018

Registered at 104 HARWELL AVE, LAGRANGE, GA 30240 (Tel: 7064150164)

βœ…
NPI Profile Active July 19, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location July 19, 2017

Registered at 104 HARWELL AVE, LAGRANGE, GA 302403132 (Tel: 7068850111)

πŸ“
Updated Business Mailing Address July 19, 2017

Registered at 371 ROSEMONT RD, LAGRANGE, GA 302419544 (Tel: (706) 884-4575)

πŸ‘€
Provider Name / Credentials Updated July 19, 2017

Recorded as EMILY JACKSON, LPC, NCC, CSOTS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2017

Counselor (license number reported to NPPES: GA LPC006931)

βœ…
NPI Profile Active September 09, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 09, 2014

Registered at 1025 1ST AVE, COLUMBUS, GA 319012401 (Tel: 7062560790)

πŸ“
Business Mailing Address (Initial Record) September 09, 2014

Registered at 1025 1ST AVE, COLUMBUS, GA 319012401 (Tel: 7062560790)

πŸ‘€
Provider Name / Credentials (Initial Record) September 09, 2014

Recorded as EMILY JACKSON, LPC, NCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2014

Counselor (license number reported to NPPES: GA LPC006931)

🟒
Initial NPI Registration & Enumeration January 20, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1386915494
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2012
Last Update: March 04, 2020
Sole Proprietor: Yes

Mailing Address

200 N Lewis St

Lagrange, GA 302402738

Phone: 7068875787

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.