Active NPI
Tashara Jones
- Professional Counselor
- Ellenwood, GA
National Provider Identifier
1780450189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC016854
- Practice address
- 3677 Windmill Rd
Ellenwood, GA 30294-2106 - Phone
- (904) 738-2718
- NPI assigned
- Nov 28, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC016854 | GA | Primary |
Addresses
Primary practice location
3677 Windmill Rd
Ellenwood, GA 30294-2106
Mailing address
3677 Windmill Rd
Ellenwood, GA 30294-2106
Phone (904) 738-2718
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chris 180, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Atlanta, GA
- NPI 1134257827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1780450189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3677 WINDMILL RD",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302942106",
"telephone_number": "904-738-2718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3677 WINDMILL RD",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302942106",
"telephone_number": "904-738-2718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "TASHARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-28",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC016854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellenwood, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.