P Praxis·MD
● Active Type 1 · Individual

Tiffany Jackson, LMSW

Counselor·East Point, GA· NPI 1316532591 · Enumerated 2021 · 5 years on NPI
Jackson is 1 of 25 counselor providers in East Point and 1 of 7547 in Georgia.
NPI age
5 years
Enumerated 2021-03-09
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-03-09
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 · 2021 → 2026

2021-03Enumerated in NPPES
2021 2026

Where they practice

Practice location
2474 Black Fox Trl
East Point, GA 303446612
📞 5104352172
Mailing address
2474 Black Fox Trl
East Point, GA 303446612
📞 5104352172

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YP2500X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 1 new counselor provider has been added in East Point 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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