JONATHON MICHAEL PRYOR LPC, LPCC
NPI 1063996619
Counselor in Blackshear, GA

Active since September 19, 2018
6692 TANGLEWOOD DR, BLACKSHEAR, GA 31516(912) 590-2981 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2024, Aug 17, 2024, Feb 28, 2022 and 2 more (5 updates tracked since 2018).

About Jonathon Michael Pryor Lpc, Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHON MICHAEL PRYOR LPC, LPCC (NPI 1063996619) is an individual counselor in Blackshear, Georgia, licensed in Georgia (LPC010482) and active in the NPI registry since September 2018. He maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1063996619
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJONATHON MICHAEL PRYORCredential: LPC, LPCC
Location Address6692 TANGLEWOOD DRBlackshear, GA 31516-7530
Mailing AddressPo Box 1884Waycross, GA 31502-1884 · (912) 590-2981
Sole ProprietorNo
Enumeration DateSeptember 19, 2018
Last NPPES UpdateAugust 19, 20245 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
NPI 1063996619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in GA · LPC010482
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 16923 (CA)
6692 TANGLEWOOD DR, Blackshear, GA 31516

Secondary Practice Location 1

Location 11000 G St Ste 125Sacramento, CA 95814-0894 · Phone (888) 878-8595

Other Identifiers 1

Medicaid1063996619GA

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathon Pryor's NPI number?

The NPI number for Jonathon Pryor is 1063996619. It was assigned to this individual provider in the NPPES registry on September 19, 2018.

Where is Jonathon Pryor located?

Jonathon Pryor practices at 6692 Tanglewood Dr, Blackshear, GA 31516. The listed phone number is (912) 590-2981.

What is Jonathon Pryor's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Jonathon Pryor accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Providence Health Plan list Jonathon Pryor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathon Pryor was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.