Marissa Jones, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

003111 Issued in GA

Practice address

82 Sydney Woods Dr
Forsyth, GA 31029-4756

Phone

(478) 747-2902

NPI assigned

Jan 24, 2021

Last updated

Jan 24, 2021By 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

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, 1996

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

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611446400000",
    "number": "1316537277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310290012",
            "telephone_number": "478-747-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 SYDNEY WOODS DR",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310294756",
            "telephone_number": "478-747-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MARISSA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "003111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ignite Performance Nutrition, LLC (Ignite Nutrition Services)
• Ingles Markets Inc
• Internal Medicine Associates of Middle Georgia, P.C.
• JM Cardinal Investments LLC
• Amber R. Johnston, LMSW
• Jovita&Sons Medical Transport LLC
• Jennifer Lackley, RPT
• Krystal Laidler, FNP
• Lawson and Cromer Inc (Lawson and Cromer Pharmacy)
• Darrce Carolyn Leonard, CNM

• Professional Counselor in Forsyth, GA
• Providers in Forsyth, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; 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.