NPI age
7 years
Enumerated 2018-09-19
● Active
Type 1 · Individual
Jonathon Michael Pryor, LPC, LPCC
Pryor is 1 of 2 counselor providers in Blackshear and 1 of 1686 in Georgia.
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
GA, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-08-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1686 active counselor providers in Georgia.
NPI age
7 years
≈ at median (7 yr)
State licenses
2 states
Top 97% — 2% of peers are multi-state
Subspecialties
1
In the 15% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-09Enumerated in NPPES
2018
2026
Where they practice
Practice location
6692 Tanglewood Dr
Blackshear, GA 315167530
Mailing address
Po Box 1884
Waycross, GA 315021884
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1000 G St Ste 125
Sacramento, CA 958140894
Specialties
-
Counselor PrimaryA provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
-
CounselorDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 1063996619 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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