DR. JACKSON PATTEN RAINER PH.D.
NPI 1457388019
Psychologist - Counseling in Brookhaven, GA

Active since June 27, 2006Opted out of Medicare · through Oct 1, 2026
3103 CLAIRMONT RD NE STE B, BROOKHAVEN, GA 30329(404) 636-1457(404) 636-7449 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jackson Patten Rainer Ph.d. NPPES

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

DR. JACKSON PATTEN RAINER PH.D. (NPI 1457388019) is an individual counseling provider in Brookhaven, Georgia, licensed in Georgia (1142) and active in the NPI registry since June 2006. He has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1457388019
Entity TypeIndividualMale
Primary Taxonomy103TC1900X
Provider Legal NameDR. JACKSON PATTEN RAINERCredential: PH.D.
Location Address3103 CLAIRMONT RD NE STE BBrookhaven, GA 30329-1043
Mailing Address1017 Fayetteville Rd Se Ste AAtlanta, GA 30316-2932 · (404) 636-1457 · Fax (404) 636-7449
Fax(404) 636-7449
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateOctober 13, 2021
NPPES CertifiedOctober 13, 2021
NPI 1457388019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in GA · 1142
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
3103 CLAIRMONT RD NE STE B, Brookhaven, GA 30329

Other Identifiers 1

Other202G704720GA · Ptan

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Jackson Patten Rainer Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 15

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

Counselor (Addiction (Substance Use Disorder))
3103 CLAIRMONT RD NE STE B
BROOKHAVEN, GA 30329
Counselor (Mental Health)
3103 CLAIRMONT RD NE STE B
BROOKHAVEN, GA 30329
Marriage & Family Therapist
3103 CLAIRMONT RD NE STE B
BROOKHAVEN, GA 30329
Social Worker
3103 CLAIRMONT RD NE STE B
BROOKHAVEN, GA 30329
Case Manager/Care Coordinator
3103 CLAIRMONT RD NE STE B
BROOKHAVEN, GA 30329
Marriage & Family Therapist
3103 CLAIRMONT RD NE STE B
BROOKHAVEN, GA 30329
Counselor (Professional)
3103 CLAIRMONT RD NE STE B
BROOKHAVEN, GA 30329
Counselor (Professional)
3103 CLAIRMONT RD NE STE B
BROOKHAVEN, GA 30329

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 Jackson Rainer's NPI number?

The NPI number for Jackson Rainer is 1457388019. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Jackson Rainer located?

Jackson Rainer practices at 3103 Clairmont Rd NE Ste B, Brookhaven, GA 30329. The listed phone number is (404) 636-1457.

What is Jackson Rainer's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Jackson Rainer enrolled in Medicare?

No. Jackson Rainer has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jackson Rainer accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Jackson Rainer 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 Jackson Rainer was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.