MS. LAVONNA WINFREDA OWENS-JACKSON LPC, CCM
NPI 1891439337
Counselor - Professional in Stone Mountain, GA

Active since April 21, 2022
1192 ROCKBRIDGE RD STE A, STONE MOUNTAIN, GA 30087(770) 925-2010 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Lavonna Winfreda Owens-jackson Lpc, Ccm NPPES

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

MS. LAVONNA WINFREDA OWENS-JACKSON LPC, CCM (NPI 1891439337) is an individual professional provider in Stone Mountain, Georgia, licensed in Georgia (LPC008416) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1891439337
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. LAVONNA WINFREDA OWENS-JACKSONCredential: LPC, CCM
Location Address1192 ROCKBRIDGE RD STE AStone Mountain, GA 30087-2923
Mailing Address3040 Lakeside CirCovington, GA 30016-8892 · (678) 478-5860
Sole ProprietorYes
Enumeration DateApril 21, 2022
NPPES CertifiedApril 21, 2022
NPI 1891439337 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 · LPC008416
1192 ROCKBRIDGE RD STE A, Stone Mountain, GA 30087

Other Names 1

Other Name (5)Mrs. Lavonna Small Lpc, Ccm

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Physician Assistant (Medical)
1192 ROCKBRIDGE RD STE A
STONE MOUNTAIN, GA 30087
Nurse Practitioner (Family)
1192 ROCKBRIDGE RD STE A
STONE MOUNTAIN, GA 30087
Family Medicine
1192 ROCKBRIDGE RD STE A
STONE MOUNTAIN, GA 30087
Family Medicine
1192 ROCKBRIDGE RD STE A
STONE MOUNTAIN, GA 30087

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 Lavonna Owens-jackson's NPI number?

The NPI number for Lavonna Owens-jackson is 1891439337. It was assigned to this individual provider in the NPPES registry on April 21, 2022. The provider is also known as Mrs. Lavonna Small Lpc, Ccm.

Where is Lavonna Owens-jackson located?

Lavonna Owens-jackson practices at 1192 Rockbridge Rd Ste A, Stone Mountain, GA 30087. The listed phone number is (770) 925-2010.

What is Lavonna Owens-jackson's specialty?

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

What insurance does Lavonna Owens-jackson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Lavonna Owens-jackson 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 Lavonna Owens-jackson was last updated on April 21, 2022. 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.