Active NPI
Tina Jones, LPC013310
- Professional Counselor
- Ellijay, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC013310
- Practice address
- 206 Kell St
Ellijay, GA 30540-3132 - Phone
- (770) 380-1786
- NPI assigned
- Jun 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC013310 | GA | Primary |
Addresses
Primary practice location
206 Kell St
Ellijay, GA 30540-3132
Mailing address
206 Kell St
Ellijay, GA 30540-3132
Phone (770) 380-1786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC013310 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Rivers Community Service Board | Current | Accepting new patients | |
| Thrive Counseling LLC | Current | Accepting new patients | |
| Brave Health Medical Group PA | Current | Accepting new patients | |
| Highland Rivers CSB | Current | Accepting new patients |
Locations
191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600
1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507
323 Roland Rd
Jasper, GA 30143
Phone (706) 253-1112
3745 Cherokee St NW
Ste 903
Kennesaw, GA 30144
Phone (404) 345-1191
8800 Roswell Rd
Ste A135
Sandy Springs, GA 30350
Phone (617) 395-5806
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Dalton, GA
- NPI 1447256243
-
dba Highland Rivers Whitfield Treatment Services
- Community/Behavioral Health Agency
- Dalton, GA
- NPI 1164585543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1255016879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 KELL ST",
"city": "ELLIJAY",
"state": "GA",
"postal_code": "305403132",
"telephone_number": "770-380-1786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 KELL ST",
"city": "ELLIJAY",
"state": "GA",
"postal_code": "305403132",
"telephone_number": "770-380-1786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "TINA",
"credential": "LPC013310",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-20",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC013310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellijay, GA
- Ingles Markets Inc (Ingles Pharmacy #409)
- Maryanne Ingram, OTR/L
- JD Medical Services Inc (griffin medical services)
- Kimberly Erin Johnson, MSPT
- James Michael Jones, PT
- Jumpstart Fitness Inc (Ellijay Eye Care)
- Kathy Romanick Licensed Clinical Social Worker an LLC
- Cheryl M. Keats, LCSW
- Kelvin Moss MD PC
- Alana Maria Kent, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.