NPIMap

Organization Active NPI

Second Chance Counseling Services, LLC

  • Professional Counselor
  • Thomson, GA
National Provider Identifier
1790040822
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC006021 Issued in GA
Legal business name
SECOND CHANCE COUNSELING SERVICES, LLC
Practice address
322 Hospital Dr
Thomson, GA 30824-2121
Phone
(706) 595-2548
Fax
(706) 595-3070
NPI assigned
Jul 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Mr. Charles Edward Jones, LPCNPI 1417280439
Title
Ceo
Phone
(706) 595-2548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC006021 GA Primary

Addresses

Primary practice location

322 Hospital Dr
Thomson, GA 30824-2121

Mailing address

PO Box 10
Thomson, GA 30824-0010
Phone (706) 595-2548

Other identifiers 1

IdentifierTypeStateIssuer
0000606317BMedicaidGA

National Provider Directory

National Provider Directory

Locations

114 E Hall St
Thomson, GA 30824
Phone (706) 595-2548

322 Hospital Dr
Thomson, GA 30824
Phone (706) 595-2548

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1341360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1790040822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308240010",
            "telephone_number": "706-595-2548",
            "fax_number": "706-595-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 HOSPITAL DR",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308242121",
            "telephone_number": "706-595-2548",
            "fax_number": "706-595-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-04",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-595-2548",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000606317B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.