JAKETA LEENA GROVES LPC
NPI 1376317487
Counselor - Professional in Milton, GA

Q: What is Jaketa Groves's NPI number?

The NPI number for Jaketa Groves is 1376317487. It was assigned to this individual provider in the NPPES registry on November 9, 2023.

Q: What is Jaketa Groves's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaketa Groves was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 09, 2023PECOS EnrolledAccepts Medicare Assignment

850 MAYFIELD RD STE 203, MILTON, GA 30009(470) 805-5040(678) 268-4550 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2026, Dec 16, 2025, Sep 15, 2025 and 1 more (4 updates tracked since 2023).

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About Jaketa Leena Groves Lpc NPPES

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

JAKETA LEENA GROVES LPC (NPI 1376317487) is an individual professional provider in Milton, Georgia, licensed in Georgia (LPC014112) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1376317487

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJAKETA LEENA GROVESCredential: LPC

Location Address850 MAYFIELD RD STE 203Milton, GA 30009-3012

Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630

Phone(470) 805-5040

Fax(678) 268-4550

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 9, 2023

Last NPPES UpdateJanuary 8, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2026

✔ NPI 1376317487 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 · LPC014112

850 MAYFIELD RD STE 203, Milton, GA 30009

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaketa Leena Groves 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 ID1254778715

PECOS Enrollment IDI20240320002412

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.

Other Providers at the Same Location NPPES 9

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

MRS. LAURIE ANN ADAMS LPC

Counselor (Professional)