Cliff Jackson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2350 Prince Ave Ste 17
Athens, GA 30606-6040

Phone

(706) 389-8161

Fax

(888) 640-1360

NPI assigned

Jun 14, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Getting Real Counseling Center

  • Adult Mental Health Clinic/Center
  • Athens, GA
  • NPI 1356923981
  NPD

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1467020727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 PRINCE AVE STE 17",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066040",
            "telephone_number": "706-389-8161",
            "fax_number": "888-640-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 PRINCE AVE STE 17",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066040",
            "telephone_number": "706-389-8161",
            "fax_number": "888-640-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CLIFF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cliff@gettingrealcc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2350 Prince Ave Ste 17",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306066040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• J. Edward Dempsey, M.D., P.C.
• Sallay Jabbie
• Lori Jacks, LCSW
• Jackson Speech Therapy Services
• Beverly Jackson, PTA
• Elizabeth Jackson
• Hannah Jackson, LCSW
• Helen Jackson, MAT, MCD, CCC-SLP
• Larissa Jackson, MS
• Lois L Jackson, SLP

• Mental Health Counselor in Athens, GA
• Providers in Athens, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.