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JACINTA WILLS LPC
NPI 1477213817
Counselor - Professional in Decatur, GA

Active since December 27, 2021PECOS EnrolledAccepts Medicare Assignment
2801 N DECATUR RD STE 185, DECATUR, GA 30033(404) 600-4382(404) 835-2015 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2024, Dec 27, 2021 (2 updates tracked since 2021).

About Jacinta Wills Lpc NPPES

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

JACINTA WILLS LPC (NPI 1477213817) is an individual professional provider in Decatur, Georgia, licensed in Georgia (LPC012559) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1477213817
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACINTA WILLSCredential: LPC
Location Address2801 N DECATUR RD STE 185Decatur, GA 30033-5924
Mailing Address2801 N Decatur Rd Ste 185Decatur, GA 30033-5924 · (404) 600-4382 · Fax (404) 835-2015
Phone(404) 600-4382
Fax(404) 835-2015
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 27, 2021
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1477213817 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 · LPC012559
2801 N DECATUR RD STE 185, Decatur, GA 30033
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacinta Wills 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 ID648619981
PECOS Enrollment IDI20240418003224
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.

Medicare Billing Reassignment

Medicare enrollment records show Jacinta Wills reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

3D Psychotherapy, LLC
1.6 mi
Professional
1 W COURT SQ, SUITE 750
Decatur, GA 30030
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1942743687 (404) 620-6791

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

BRANDY J SMITH LPC
Counselor (Professional)
2801 N DECATUR RD STE 185
DECATUR, GA 30033
Dekalb County (770) 490-0288
VERSHONDA P SCOTT LPC
Counselor (Professional)
2801 N DECATUR RD STE 185
DECATUR, GA 30033
Dekalb County (770) 298-8945

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 Jacinta Wills's NPI number?

The NPI number for Jacinta Wills is 1477213817. It was assigned to this individual provider in the NPPES registry on December 27, 2021.

Where is Jacinta Wills located?

Jacinta Wills practices at 2801 N Decatur Rd Ste 185, Decatur, GA 30033. The listed phone number is (404) 600-4382.

What is Jacinta Wills's specialty?

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

Is Jacinta Wills enrolled in Medicare?

Yes. Jacinta Wills is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jacinta Wills's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacinta Wills reassigns Medicare benefits to 3D Psychotherapy, LLC (Decatur, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacinta Wills's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacinta Wills was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.