Individual provider Active NPI

Karen Michelle Jacobs-White, LPCC

  • Professional Counselor
  • Sharpsburg, GA
National Provider Identifier
1073552337
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC012587 Issued in GA
Practice address
10 Oconee Woods TRL
Sharpsburg, GA 30277-4611
Phone
(470) 662-0045
NPI assigned
Jun 5, 2006
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X KY-0179 KY
Professional Counselor 101YP2500X LPC012587 GA Primary

Addresses

Primary practice location

10 Oconee Woods TRL
Sharpsburg, GA 30277-4611

Mailing address

10 Oconee Woods TRL
Sharpsburg, GA 30277-4611
Phone (470) 662-0045

Other practice location 1

200 Westpark Dr Ste 160
Peachtree City, GA 30269-3534
Phone (617) 379-0496 ext. 1164

Other identifiers 1

IdentifierTypeStateIssuer
341177OtherKYTRICARE

Other names 1

  • Karen Jacobs-Ahjuder Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KY-0179KYMDMental Health Counselor
LPC012587GAMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1073552337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OCONEE WOODS TRL",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302774611",
            "telephone_number": "470-662-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OCONEE WOODS TRL",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302774611",
            "telephone_number": "470-662-0045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Westpark Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302693534",
            "country_code": "US",
            "telephone_number": "617-379-0496 x1164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS-WHITE",
        "first_name": "KAREN",
        "middle_name": "MICHELLE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "KY-0179",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC012587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "341177",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "JACOBS-AHJUDER",
            "credential": "LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sharpsburg, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.