JAMILA KENZI HARLESTON LPC
NPI 1689928905
Counselor - Professional in Peachtree City, GA

Q: What is Jamila Harleston's NPI number?

The NPI number for Jamila Harleston is 1689928905. It was assigned to this individual provider in the NPPES registry on November 8, 2012.

Q: What is Jamila Harleston'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 Jamila Harleston was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 08, 2012PECOS EnrolledAccepts Medicare Assignment

125 GOVERNORS SQ STE D, PEACHTREE CITY, GA 30269(678) 423-5500 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2025, Sep 17, 2024 (2 updates tracked since 2024).

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About Jamila Kenzi Harleston Lpc NPPES

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

JAMILA KENZI HARLESTON LPC (NPI 1689928905) is an individual professional provider in Peachtree City, Georgia, licensed in Georgia (LPC011657) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Riverdale, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1689928905

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJAMILA KENZI HARLESTONCredential: LPC

Location Address125 GOVERNORS SQ STE DPeachtree City, GA 30269-4871

Mailing Address4800 N Scottsdale RdScottsdale, AZ 85251-7630 · (678) 423-5500

Phone(678) 423-5500

Sole ProprietorYes

Medical School CMSOtherGraduated 2001

Enumeration DateNovember 8, 2012

Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2025

✔ NPI 1689928905 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 · LPC011657

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 510938 (GA)

125 GOVERNORS SQ STE D, Peachtree City, GA 30269

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Secondary Practice Location 1

Location 1980 Buloxi BlvdRiverdale, GA 30296-6070 · Phone (704) 726-0018

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Jamila Kenzi Harleston 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 ID6800239633

PECOS Enrollment IDI20240208003898

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. SIARRA ADERONKE MAKETO LCSW

Social Worker (Clinical)