EMILY NANETTE JACKSON LPC, NCC, CSOTS
NPI 1386915494
Counselor - Professional in Lagrange, GA

Active since January 20, 2012
200 N LEWIS ST, LAGRANGE, GA 30240(706) 887-5787(706) 780-5402 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2020, Jun 14, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Emily Nanette Jackson Lpc, Ncc, Csots NPPES

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

EMILY NANETTE JACKSON LPC, NCC, CSOTS (NPI 1386915494) is an individual professional provider in Lagrange, Georgia, licensed in Georgia (LPC006931) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1386915494
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameEMILY NANETTE JACKSONCredential: LPC, NCC, CSOTS
Location Address200 N LEWIS STLagrange, GA 30240-2738
Mailing Address200 N Lewis StLagrange, GA 30240-2738 · (706) 887-5787 · Fax (706) 780-5402
Fax(706) 780-5402
Sole ProprietorYes
Enumeration DateJanuary 20, 2012
Last NPPES UpdateMarch 4, 20204 updates tracked since enumeration
NPPES CertifiedMarch 4, 2020
NPI 1386915494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC006931
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPC006931 (GA)
200 N LEWIS ST, Lagrange, GA 30240

Other Identifiers 1

Medicaid003215089AGA

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.

Psychologist
200 N LEWIS ST
LAGRANGE, GA 30240
Nurse Practitioner (Family)
200 N LEWIS ST
LAGRANGE, GA 30240
Counselor (Professional)
200 N LEWIS ST
LAGRANGE, GA 30240
Clinic/Center (Mental Health (Including Community Mental Health Center))
200 N LEWIS ST
LAGRANGE, GA 30240
Counselor (Professional)
200 N LEWIS ST
LAGRANGE, GA 30240
Speech-Language Pathologist
200 N LEWIS ST
LAGRANGE, GA 30240
Speech-Language Pathologist
200 N LEWIS ST
LAGRANGE, GA 30240
Clinic/Center (Multi-Specialty)
200 N LEWIS ST
LAGRANGE, GA 30240

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 Emily Jackson's NPI number?

The NPI number for Emily Jackson is 1386915494. It was assigned to this individual provider in the NPPES registry on January 20, 2012.

Where is Emily Jackson located?

Emily Jackson practices at 200 N Lewis St, Lagrange, GA 30240. The listed phone number is (706) 887-5787.

What is Emily Jackson'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 Emily Jackson was last updated on March 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.