P Praxis·MD
● Active Type 1 · Individual

MR. Antoine Trevor Jackson, LAPC

Counselor·Atlanta, GA· NPI 1881992006 · Enumerated 2011 · 15 years on NPI
Jackson is 1 of 220 counselor providers in Atlanta and 1 of 1686 in Georgia.
NPI age
15 years
Enumerated 2011-03-11
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-03-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1686 active counselor providers in Georgia.

NPI age
15 years
↑ 8 yr above median (7 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-03Enumerated in NPPES
2011 2026

Where they practice

Practice location
1475 Mecaslin St Nw Apt 7306
Atlanta, GA 303092287
📞 4049252276
Mailing address
1475 Mecaslin St Nw Apt 7306
Atlanta, GA 303092287
📞 4049252276

Specialties

  • Counselor Primary
    A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
    GA license #002389 taxonomy 101Y00000X

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: 11 new counselor providers have been added in Atlanta 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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