Maximillian A Jefferies, LPC, NCC, MFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11260 Issued in SC

Practice address

474 Boxelder Rd
Atlanta, GA 30349-1673

Phone

(470) 423-2671

Fax

(678) 870-2274

NPI assigned

Nov 20, 2013

Last updated

Aug 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Insight Out Therapeutics, LLC

  • Counselor
  • Washington, UT
  • NPI 1578081014
  NPD (past)

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754179200000",
    "number": "1831529395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 BOXELDER RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303491673",
            "telephone_number": "470-423-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 BOXELDER RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303491673",
            "telephone_number": "470-423-2671",
            "fax_number": "678-870-2274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Winn Way",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300301707",
            "country_code": "US",
            "telephone_number": "404-508-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERIES",
        "first_name": "MAXIMILLIAN",
        "middle_name": "A",
        "credential": "LPC, NCC, MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-20",
        "last_updated": "2025-08-03",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007538",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "11260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "461399935",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pierre Jeanty
• Mark Justin Jedrzejczak
• Angel Jeff, NNP
• Sarah Anne Jeffcoat, DNP, CPNP-PC
• Alicia Duncan Jefferies, PA-C
• Courtney Alyse Jeffers
• Hayley Elizabeth Jeffers
• Sarah Lorraine Jeffers, M.D.
• Andrea Renee Jefferson-Saboor, MSN, FNP-C
• Anygiah Ka'Hari Jefferson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.