P Praxis·MD
● Active Type 1 · Individual

Jerrurod Paul JR.

Counselor·Brookhaven, GA· NPI 1508422726 · Enumerated 2019 · 7 years on NPI
Paul is 1 of 40 counselor providers in Brookhaven and 1 of 7547 in Georgia.
NPI age
7 years
Enumerated 2019-05-13
Primary specialty
Counselor
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-07-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7547 active counselor providers in Georgia.

NPI age
7 years
↓ 2 yr below median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 19% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-05Enumerated in NPPES
2019 2026

Where they practice

Practice location
2611 Redding Rd Ne
Brookhaven, GA 303192905
📞 7708827091
Mailing address
2611 Redding Rd Ne
Brookhaven, GA 303192905
📞 7708827091

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC014551 taxonomy 101YP2500X
  • Behavior Technician
    The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state...
    GA license #RBT-19-85867GA license #19-85867 taxonomy 106S00000X

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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