Individual provider Active NPI

Jamie Elizabeth Lough, MS

  • Professional Counselor
  • Augusta, GA
National Provider Identifier
1619589090
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC013423 Issued in GA
Practice address
3643 Walton Way Ext BLDG 4
Augusta, GA 30909-6677
Phone
(706) 364-1404
NPI assigned
Aug 18, 2020
Last updated
May 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC013423 GA Primary

Addresses

Primary practice location

3643 Walton Way Ext BLDG 4
Augusta, GA 30909-6677

Mailing address

3643 Walton Way Ext BLDG 4
Augusta, GA 30909-6677
Phone (706) 364-1404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20250414002945 PA Practitioner - Mental Health Counselor 4587188362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4001 Stonewood Dr
Suite 110
Wexford, PA 15090-8398
Phone (412) 747-1690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC013423GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gesund Health LLC - MH Pittsburgh Management, a Protected Series CurrentSince Apr 7, 2025 Accepting new patients
Transitional Family Services, LLC. Past Accepting new patients

Locations

4001 Stonewood Dr
Ste 110
Wexford, PA 15090
Phone (412) 747-1690

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1619589090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3643 WALTON WAY EXT BLDG 4",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096677",
            "telephone_number": "706-364-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3643 WALTON WAY EXT BLDG 4",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096677",
            "telephone_number": "706-364-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUGH",
        "first_name": "JAMIE",
        "middle_name": "ELIZABETH",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.