P Praxis·MD
● Active Type 1 · Individual

Emily Nanette Jackson, LPC, NCC, CSOTS

Counselor·Lagrange, GA· NPI 1386915494 · Enumerated 2012 · 14 years on NPI
Jackson is 1 of 67 counselor providers in Lagrange and 1 of 7547 in Georgia.
NPI age
14 years
Enumerated 2012-01-20
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-03-04
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
14 years
↑ 5 yr above median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 19% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-01Enumerated in NPPES
2012 2026

Where they practice

Practice location
200 N Lewis St
Lagrange, GA 302402738
📞 7068875787fax 7067805402
Mailing address
200 N Lewis St
Lagrange, GA 302402738
📞 7068875787fax 7067805402

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC006931 taxonomy 101YP2500X
  • Counselor
    Definition to come...
    GA license #LPC006931 taxonomy 101YM0800X

Identifiers

TypeValueNotes
05 (GA) 003215089A

Practice context

Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.

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