Active NPI
Jeffery Wayne Clance, LPC
- Counselor
- Calhoun, GA
National Provider Identifier
1548301484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC003141
- Practice address
- 188 Southmont Dr NE
Calhoun, GA 30701-9537 - Phone
- (706) 934-6164
- Fax
- (706) 625-0195
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC003141 | GA | Primary |
Addresses
Primary practice location
188 Southmont Dr NE
Calhoun, GA 30701-9537
Mailing address
188 Southmont Dr NE
Calhoun, GA 30701-9537
Phone (706) 934-6164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC003141 | GA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1548301484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 SOUTHMONT DR NE",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307019537",
"telephone_number": "706-934-6164",
"fax_number": "706-625-0195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 SOUTHMONT DR NE",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307019537",
"telephone_number": "706-934-6164",
"fax_number": "706-625-0195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLANCE",
"first_name": "JEFFERY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "LPC003141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calhoun, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.