Jazzmin Gastley, MS, LPC
Individual provider Active NPI Mental Health Counselor · Holly Springs, GA
NPI 1033787882 · NPPES record last updated Mar 23, 2026
Key facts
- NPI
- 1033787882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 113 Mountain Brook Dr Ste 200
Holly Springs, GA 30115-9057 - Phone
- (404) 585-0053
- NPI assigned
- Jun 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 23, 2024 through Aug 23, 2026
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willow & Moss Counseling Services LLC | Mental Health | Current |
Accepting new patients |
| Willow & Moss Counseling LLC | Mental Health | Current |
Accepting new patients |
Locations
113 Mountain Brook Dr
Ste 200
Holly Springs, GA 30115
Phone (404) 585-0051
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
113 Mountain Brook Dr Ste 200
Holly Springs, GA 30115-9057
Mailing address
113 Mountain Brook Dr Ste 200
Holly Springs, GA 30115-9057
Phone (404) 585-0053
Other providers in Holly Springs, GA
- Cynthia Elizabeth Duprey
- Stephen Thomas Ellis
- Embrace Mobility Therapy Services
- Oliver Raymond Evans II
- Jillian Ferdinand
- Georgia Chiropractic and Massage, PC
- Samuel J Gold
- Sherene Good
- Kelli Hardin
- Jason Robert Hefner
All providers in Holly Springs, GA · Mental Health Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.