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

Active since October 23, 2018PECOS EnrolledAccepts Medicare Assignment
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: November 01, 2026.

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

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 and is a graduate of Other (2005).

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
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Jerome Courson Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587015953
PECOS Enrollment IDI20240110001901
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.

Medicare Billing Reassignment

Medicare enrollment records show Andrew Courson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counselor
551 OLD PEARSON RD
Homerville, GA 31634
  • Reassigned Medicare billing, Georgia enrollment
  • 33 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Social Worker (Clinical)
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Social Worker (Clinical)
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Social Worker
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Clinic/Center (Adolescent and Children Mental Health)
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Social Worker
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Nurse Practitioner (Psychiatric/Mental Health)
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Marriage & Family Therapist
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602

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 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.

Where is Andrew Courson located?

Andrew Courson practices at 3120 N Oak Street Ext Ste B, Valdosta, GA 31602. The listed phone number is (229) 671-6170.

What is Andrew Courson's specialty?

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

Is Andrew Courson enrolled in Medicare?

Yes. Andrew Courson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Andrew Courson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Courson reassigns Medicare benefits to Unison Behavioral Health (Homerville, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Courson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Courson accept?

Health plans from Oscar Health list Andrew Courson 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 Andrew Courson was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.