Darla Jackson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC011852 Issued in GA

Practice address

106 Patriot Way
Warner Robins, GA 31088-5653

Phone

(910) 689-5180

NPI assigned

Nov 25, 2014

Last updated

Apr 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Darla Nicole Jackson Other name

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Georgia Behavioral Services LLCGroup PAC ID 3072845692, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Georgia Behavioral Services, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Warner Robins, GA
  • NPI 1861931172
  Medicare reassignment Care Compare group NPD Authorized official
• Georgia Behavioral Counseling, LLC

  • Professional Counselor
  • Warner Robins, GA
  • NPI 1366122426
  NPD Authorized official
• Warner Robins Primary Care, LLC

  • Primary Care Clinic/Center
  • Warner Robins, GA
  • NPI 1184117863
  NPD Authorized official

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744502400000",
    "number": "1205233863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BORDERS WAY STE 500",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888967",
            "telephone_number": "910-689-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PATRIOT WAY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885653",
            "telephone_number": "910-689-5180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Borders Way Ste 500",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310888967",
            "country_code": "US",
            "telephone_number": "910-689-5190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DARLA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2025-04-13",
        "certification_date": "2025-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARLA",
            "last_name": "JACKSON",
            "middle_name": "NICOLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• J & M Endeavors, Inc. (J & M Drugs)
• J Alex Bell Jr DMD PC (Family Dental Associates)
• J. Don Spillers, Jr., DMD, Ms, PC
• J&R96 Holdings LLC (Bonaire Pharmacy)
• Andrea Zacharia Jackson
• Delestin Jackson
• Elaine Jackson, NP
• Hunter Curtis Jackson, AGACNP
• Kathryn Elizabeth Jackson
• Latoya Danielle Jackson, D.O.

• Professional Counselor in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.