Gracyn Paige Wistoski Jennings, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC015777 Issued in GA

Practice address

327 Dahlonega St Ste A601
Cumming, GA 30040-2488

Phone

(678) 439-1049

NPI assigned

Feb 12, 2025

Last updated

May 27, 2025By 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

Other names 1

• Gracyn Paige Wistoski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Porch Light Counseling, LLC

  • Professional Counselor
  • Cumming, GA
  • NPI 1649135245
  NPD Authorized official

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1700691060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 DAHLONEGA ST STE A601",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402488",
            "telephone_number": "678-439-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 DAHLONEGA ST STE A601",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402488",
            "telephone_number": "678-439-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "GRACYN",
        "middle_name": "PAIGE WISTOSKI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC015777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACYN",
            "last_name": "WISTOSKI",
            "middle_name": "PAIGE",
            "credential": "APC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Jehaludi, SPECIALIST
• Dylan Joseph Jenkins, PA-C
• Gerald P. Jenkins, DMIN
• Michelle Renee Jenkins, M.D.
• Jennifer Deluca Nutrition
• Kaylee Blake Jennings
• Jessica Camp LPC, PC (Beacon Counseling)
• Zhaozhi Jiang
• Kyrstin Anne Jimenez, PHD, LPC
• Sonal Jivan, PHARM D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.

Verify at the official NPI Registry.