P Praxis·MD
● Active Type 1 · Individual

Jon Patrick Costales, LPC

Counselor·Canton, GA· NPI 1902361553 · Enumerated 2019 · 7 years on NPI
Costales is 1 of 52 counselor providers in Canton and 1 of 7547 in Georgia.
NPI age
7 years
Enumerated 2019-02-07
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-02-07
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
7 years
↓ 2 yr below median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-02Enumerated in NPPES
2019 2026

Where they practice

Practice location
310 Paper Trail Way Ste 106
Canton, GA 301155204
📞 6788804645
Mailing address
7339 Reinhardt College Pkwy
Waleska, GA 301832901
📞 4044467678

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC009867 taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 9 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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