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JACK UNDERWOOD MS, NCC, LPC
NPI 1215373485
Counselor - Professional in Atlanta, GA

Active since May 15, 2013
3108 PIEDMONT RD NE, ATLANTA, GA 30305(404) 421-5341 Get Directions Write a Review

NPPES record last updated: May 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Underwood Ms, Ncc, Lpc NPPES

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

JACK UNDERWOOD MS, NCC, LPC (NPI 1215373485) is an individual professional provider in Atlanta, Georgia, licensed in Georgia (LPC007057) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1215373485
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJACK UNDERWOODCredential: MS, NCC, LPC
Location Address3108 PIEDMONT RD NEAtlanta, GA 30305-2513
Mailing Address892 Arlington DrTucker, GA 30084-1567 · (404) 421-5341
Phone(404) 421-5341
Sole ProprietorYes
Enumeration DateMay 15, 2013
✔ NPI 1215373485 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 · LPC007057
3108 PIEDMONT RD NE, Atlanta, GA 30305
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Other Providers at the Same Location NPPES 4

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

RACHEL RIGDON
Speech-Language Pathologist
3108 PIEDMONT RD NE, SUITE 120
ATLANTA, GA 30305
Fulton County (404) 842-0990
YEMESERACH ALBABE P.A. - C.
Physician Assistant
3108 PIEDMONT RD NE
ATLANTA, GA 30305
Fulton County (404) 237-1755
AMY S HAMILTON M.ED., CCC-SLP
Speech-Language Pathologist
3108 PIEDMONT RD NE, SUITE 120
ATLANTA, GA 30305
Fulton County (404) 842-0990
DR. GURUMAN SINGH KALRA MD, FACP
Hospitalist
3108 PIEDMONT RD NE
ATLANTA, GA 30305
Fulton County (404) 237-1755

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 Jack Underwood's NPI number?

The NPI number for Jack Underwood is 1215373485. It was assigned to this individual provider in the NPPES registry on May 15, 2013.

Where is Jack Underwood located?

Jack Underwood practices at 3108 Piedmont Rd NE, Atlanta, GA 30305. The listed phone number is (404) 421-5341.

What is Jack Underwood's specialty?

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

When was this NPI record last updated?

The NPPES record for Jack Underwood was last updated on May 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.