JACLYN ETHRIDGE LPC
NPI 1205319241
Counselor - Professional in Griffin, GA

Active since September 14, 2018
1574 WILLIAMSON RD, GRIFFIN, GA 30224(770) 358-5252 Get Directions Write a Review

NPPES record last updated: September 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaclyn Ethridge Lpc NPPES

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

JACLYN ETHRIDGE LPC (NPI 1205319241) is an individual professional provider in Griffin, Georgia, licensed in Georgia (LPC010462) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1205319241
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACLYN ETHRIDGECredential: LPC
Location Address1574 WILLIAMSON RDGriffin, GA 30224-3931
Mailing Address1574 Williamson RdGriffin, GA 30224-3931
Sole ProprietorNo
Enumeration DateSeptember 14, 2018
NPI 1205319241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC010462
1574 WILLIAMSON RD, Griffin, GA 30224

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Counselor (Professional)
1574 WILLIAMSON RD
GRIFFIN, GA 30224
Counselor (Mental Health)
1574 WILLIAMSON RD
GRIFFIN, GA 30224
Nurse Practitioner (Psychiatric/Mental Health)
1574 WILLIAMSON RD
GRIFFIN, GA 30224
Nurse Practitioner (Psychiatric/Mental Health)
1574 WILLIAMSON RD
GRIFFIN, GA 30224
Counselor (Mental Health)
1574 WILLIAMSON RD
GRIFFIN, GA 30224
Registered Nurse (General Practice)
1574 WILLIAMSON RD
GRIFFIN, GA 30224
Licensed Practical Nurse
1574 WILLIAMSON RD
GRIFFIN, GA 30224

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 Jaclyn Ethridge's NPI number?

The NPI number for Jaclyn Ethridge is 1205319241. It was assigned to this individual provider in the NPPES registry on September 14, 2018.

Where is Jaclyn Ethridge located?

Jaclyn Ethridge practices at 1574 Williamson Rd, Griffin, GA 30224. The listed phone number is (770) 358-5252.

What is Jaclyn Ethridge's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Jaclyn Ethridge accept?

Health plans from CareSource list Jaclyn Ethridge 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 Jaclyn Ethridge was last updated on September 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.