William Cottrell-Jackson, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC012968 Issued in GA

Practice address

888 Horizon Blvd Apt 314
Athens, GA 30606-1136

Phone

(404) 805-8468

NPI assigned

Feb 28, 2019

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Billy Cottrell-Jackson Professional name

Medicare fee-for-service enrollment

Enrolled in MI, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  GA, MI, Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1083171896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 HORIZON BLVD APT 314",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061136",
            "telephone_number": "404-805-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 HORIZON BLVD APT 314",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061136",
            "telephone_number": "404-805-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTRELL-JACKSON",
        "first_name": "WILLIAM",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2019-02-28",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401224328",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC012968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILLY",
            "last_name": "COTTRELL-JACKSON",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Timothy Costyn, PHARMD
• Lucia F Cotten, MD
• Candace Couch, LPC
• Danielle Marie Couch, PTA
• Susannah Couch, LCSW
• Edwine Kantara Coulanges, MD
• Meisha Counkle, LPN

• Professional Counselor in Athens, GA
• Providers in Athens, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.