Individual provider Active NPI

Jakeisha Jana Austin, LPC

  • Counselor
  • Atlanta, GA
National Provider Identifier
1104525047
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC012651 Issued in GA
Practice address
450 Piedmont Ave NE
Atlanta, GA 30308-3455
Phone
(404) 375-5295
NPI assigned
Feb 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC012651 GA Primary

Addresses

Primary practice location

450 Piedmont Ave NE
Atlanta, GA 30308-3455

Mailing address

450 Piedmont Ave NE
Atlanta, GA 30308-3455
Phone (404) 375-5295

Other names 1

  • N/a N/a N/a Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251124001660 GA Practitioner - Mental Health Counselor 8426540857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nak Union, IncGroup PAC ID 2769602861, 3 clinicians

Practice addresses (Care Compare)

5530 Old National Hwy
Building C Suite B
College Park, GA 30349
Phone (678) 591-2720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC012651GAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ican Think Positive Counseling and Coaching Services CurrentSince Oct 10, 2025 Accepting new patients
Nak Union, Inc CurrentSince Oct 6, 2025 Accepting new patients

Locations

5530 Old National Hwy
Ste C
College Park, GA 30349
Phone (678) 466-6511

2050 Warm Springs Rd
Ste C
Columbus, GA 31904
Phone (678) 999-2611

5405 Memorial Dr
Bldg C
Stone Mtn, GA 30083
Phone (404) 299-6555

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.

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1104525047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 PIEDMONT AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303083455",
            "telephone_number": "404-375-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PIEDMONT AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303083455",
            "telephone_number": "404-375-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "JAKEISHA",
        "middle_name": "JANA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC012651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "N/A",
            "credential": "JAKEISHA AUSTIN LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.