ANDREW JEROME COURSON LPC
NPI 1194291625
Counselor - Mental Health in Valdosta, GA

Q: What is Andrew Courson's NPI number?

The NPI number for Andrew Courson is 1194291625. It was assigned to this individual provider in the NPPES registry on October 23, 2018.

Q: What is Andrew Courson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Courson was last updated on July 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 23, 2018PECOS Enrolled

3120 N OAK STREET EXT STE B, VALDOSTA, GA 31602(229) 671-6170 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 26, 2024, Oct 23, 2018 (2 updates tracked since 2018).

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About Andrew Jerome Courson Lpc NPPES

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

ANDREW JEROME COURSON LPC (NPI 1194291625) is an individual mental health provider in Valdosta, Georgia, licensed in Georgia (LPC010547) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194291625

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameANDREW JEROME COURSONCredential: LPC

Location Address3120 N OAK STREET EXT STE BValdosta, GA 31602-5910

Mailing Address3120 N Oak Street Ext Ste CValdosta, GA 31602-5910 · (229) 671-6170

Phone(229) 671-6170

Sole ProprietorNo

Enumeration DateOctober 23, 2018

Last NPPES UpdateJuly 29, 20252 updates tracked since enumeration

NPPES CertifiedJuly 29, 2025

✔ NPI 1194291625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in GA · LPC010547

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC010547 (GA)

3120 N OAK STREET EXT STE B, Valdosta, GA 31602

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Jerome Courson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.