NPIMap

Jacqueline Marie Adams, M.S.

Individual provider Active NPI Mental Health Counselor · Woodstock, GA

NPI 1053169409 · NPPES record last updated May 10, 2024

Key facts

NPI
1053169409
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
270 Heritage Walk
Woodstock, GA 30188-3875
Phone
(678) 494-5700
NPI assigned
May 10, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Woodstock Treatment Center LLC Current
since May 12, 2024		 Accepting new patients
Georgia CTC, LLC Past
since May 12, 2024		 Accepting new patients

Locations

270 Heritage Walk
Woodstock, GA 30188
Phone (678) 494-5700

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

270 Heritage Walk
Woodstock, GA 30188-3875

Mailing address

4613 Mars CT NW
Acworth, GA 30101-3991
Phone (704) 771-2118

Other providers in Woodstock, GA

All providers in Woodstock, GA · Mental Health Counselor in Georgia

Sources for this page

Verify at the official NPI Registry.