P Praxis·MD
● Active Type 1 · Individual

Jackie Bostick, LPC

Counselor·Covington, GA· NPI 1396500096 · Enumerated 2024 · 2 years on NPI
Bostick is 1 of 2 counselor providers in Covington and 1 of 162 in Georgia.
NPI age
2 years
Enumerated 2024-02-21
Primary specialty
Counselor
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2024-02-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 162 active counselor providers in Georgia.

NPI age
2 years
↓ 4 yr below median (6 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-02Enumerated in NPPES
2024 2026

Where they practice

Practice location
8111 Crestview Dr Se
Covington, GA 300143263
📞 6787879339
Mailing address
Po Box 2384
Covington, GA 300157384
📞 6787879339

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YP1600X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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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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