Joclyn Sims Windom, LPC
Individual provider Active NPI Mental Health Counselor · Alpharetta, GA
NPI 1134474620 · NPPES record last updated Jun 29, 2025
Key facts
- NPI
- 1134474620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LPC014262 (GA)
- Practice address
- 11720 Amber Park Dr Ste 160
Alpharetta, GA 30009-2271 - Phone
- (334) 552-1846
- NPI assigned
- Jul 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC014262 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Gathering Counseling LTD Co | Current |
Accepting new patients |
Locations
11720 Amber Park Dr
Ste 160
Alpharetta, GA 30009
Phone (404) 617-5301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC014262 | GA | |
| Health & Wellness Coach | 171400000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X | LPC014262 | GA | Yes |
Addresses
Primary practice location
11720 Amber Park Dr Ste 160
Alpharetta, GA 30009-2271
Mailing address
10620 Colony Glen Dr
Alpharetta, GA 30022-4914
Phone (334) 552-1846
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 743527131A | Medicaid | GA |
Other providers in Alpharetta, GA
- Sydney Wilson
- Tara Sansone Wilson
- Valarie D. Wilson
- Jonette Odyssey Winder
- Emily Marie Windham
- Windsor Manor Operations, LLC
- Windward Chiropractic & Wellness, Inc
- Windward Eye Care
- Windward Eye Care, Inc.
- Windward Healthcare Center LLC
All providers in Alpharetta, 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 Jun 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.