Individual provider Active NPI

Brian Jones, LPC

  • Professional Counselor
  • Marietta, GA
National Provider Identifier
1225417892
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC013605 Issued in GA
Practice address
376 Powder Springs St Ste 240a
Marietta, GA 30064-3499
Phone
(678) 404-4505
NPI assigned
May 28, 2015
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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 6401019019 MI
Professional Counselor 101YP2500X LPC013605 GA Primary

Addresses

Primary practice location

376 Powder Springs St Ste 240a
Marietta, GA 30064-3499

Mailing address

376 Powder Springs St Ste 240a
Marietta, GA 30064-3499
Phone (678) 444-4505

Other practice location 1

1685 Baldwin Ave
Pontiac, MI 48340-1115
Phone (248) 706-3450

Other practice location 2

1685 Baldwin Ave
Pontiac, MI 48340-1115
Phone (248) 706-3450

Other practice location 3

13305 Reeck Ct
Southgate, MI 48195
Phone (734) 225-2090

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
I20240501003260 GA Practitioner - Mental Health Counselor 5991145328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Services of Atlanta LLCGroup PAC ID 8820438716, 15 clinicians

Practice addresses (Care Compare)

376 Powder Springs St
Suite 240a
Marietta, GA 30064-3499
Phone (678) 444-4505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401019019MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Services of Atlanta, LLC Professional CurrentSince Apr 4, 2024 Accepting new patients
Easterseals Morc Health Care, Inc. Past Accepting new patients
Ismail B. Sendi, MD, PC Past Accepting new patients

Locations

376 Powder Springs St
Ste 240A
Marietta, GA 30064
Phone (678) 404-4505

4006 Holcomb Bridge Rd
Ste 210
Peachtree Corners, GA 30092
Phone (678) 444-4505

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1225417892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 POWDER SPRINGS ST STE 240A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643499",
            "telephone_number": "678-444-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 POWDER SPRINGS ST STE 240A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643499",
            "telephone_number": "678-404-4505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1685 Baldwin Ave",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483401115",
            "country_code": "US",
            "telephone_number": "248-706-3450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1685 Baldwin Ave",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483401115",
            "country_code": "US",
            "telephone_number": "248-706-3450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13305 Reeck Ct",
            "address_purpose": "LOCATION",
            "city": "Southgate",
            "state": "MI",
            "postal_code": "48195",
            "country_code": "US",
            "telephone_number": "734-225-2090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "BRIAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-28",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401019019",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.