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

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: October 25, 2026.

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

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

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

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.

Medicare Billing Reassignment

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

Personal Recovery Network LLC
20 mi
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 592 clinicians in this Medicare group
NPI 1881990869 (770) 389-8100

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 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)
125 GOVERNORS SQ STE D
PEACHTREE CITY, GA 30269
Fayette County (678) 423-5500
KIMBERLY MICHELLE BRYANT LCSW
Social Worker (Clinical)
125 GOVERNORS SQ STE D
PEACHTREE CITY, GA 30269
Fayette County (678) 423-5500
GENEVIEVE DANIEL HERNANDEZ LPC
Counselor (Professional)
125 GOVERNORS SQ STE D
PEACHTREE CITY, GA 30269
Fayette County (678) 423-5500
OLUWABUNMI ADENUGA LCSW
Social Worker (Clinical)
125 GOVERNORS SQ STE D
PEACHTREE CITY, GA 30269
Fayette County (678) 423-5500
MR. HERSCHEL LEE ABBOTT III LPC, NCC, M.ED
Counselor (Professional)
125 GOVERNORS SQ STE D
PEACHTREE CITY, GA 30269
Fayette County (678) 423-5500
ADRIAN CHEARELL SAGO LPC
Counselor (Professional)
125 GOVERNORS SQ STE D
PEACHTREE CITY, GA 30269
Fayette County (678) 423-5500
CAROLYN MASSENGALE MORELAND LPC
Counselor (Professional)
125 GOVERNORS SQ STE D
PEACHTREE CITY, GA 30269
Fayette County (770) 389-8100
MR. LITTRON S COLE MPH, MS, LPC, NCC
Counselor (Professional)
125 GOVERNORS SQ STE D
PEACHTREE CITY, GA 30269
Fayette County (678) 423-5500

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 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.

Where is Jamila Harleston located?

Jamila Harleston practices at 125 Governors Sq Ste D, Peachtree City, GA 30269. The listed phone number is (678) 423-5500.

What is Jamila Harleston's specialty?

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

Is Jamila Harleston enrolled in Medicare?

Yes. Jamila Harleston 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 Jamila Harleston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamila Harleston reassigns Medicare benefits to Personal Recovery Network LLC (Stockbridge, 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 Jamila Harleston'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 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 13 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.