Amy Jacques LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

AMY JACQUES LLC

Practice address

403 Green St NW Ste 1
Gainesville, GA 30501-3349

Phone

(678) 632-6169

Fax

(678) 693-5018

NPI assigned

May 26, 2021

Organization subpart

No

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

Authorized official

Name

Amy Jacques, LPCNPI 1710561501

Title

Director

Phone

(678) 632-6169

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Jacques, LPC, BC-DMT

  • Professional Counselor
  • Gainesville, GA
  • NPI 1710561501
  NPD Authorized official

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1508431966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 GREEN ST NW STE 1",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013349",
            "telephone_number": "678-632-6169",
            "fax_number": "678-693-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 GREEN ST NW STE 1",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013349",
            "telephone_number": "678-632-6169",
            "fax_number": "678-693-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY JACQUES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "JACQUES",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-632-6169",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prashant Amin, M.D.
• Srujal Amin, NURSE PRACTITIONER
• Folake T Aminu, M.D.
• Emmanuel Olayiwola Amoran, MD
• Margaret Amoss, LPC
• Quinton Ananthasane, CAA
• Marlene A Anderson-Reid, ANP-C
• Blake John Anderson, MD
• Colin Anderson, AGACNP
• Haley Anderson, CAA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.