P Praxis·MD
● Active Type 1 · Individual

Takelia Jackson

Counselor·Smyrna, GA· NPI 1114528957 · Enumerated 2020 · 5 years on NPI
Jackson is 1 of 99 counselor providers in Smyrna and 1 of 7547 in Georgia.
NPI age
5 years
Enumerated 2020-11-06
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-08-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 7547 active counselor providers in Georgia.

NPI age
5 years
↓ 4 yr below median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-11Enumerated in NPPES
2020 2026

Where they practice

Practice location
2875 Spring Villa Ln Se
Smyrna, GA 300803644
📞 6785921680
Mailing address
2875 Spring Villa Ln Se
Smyrna, GA 300803644
📞 6785921680

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC011682 taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 1 new counselor provider has been added in Smyrna in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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