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MARVELOUS LIGHT CONSULTANTS
NPI 1922145325
Counselor - Professional in Decatur, GA

Active since February 01, 2007
4484 COVINGTON HWY, SUITE 100A, DECATUR, GA 30035(404) 286-0054(404) 286-0064 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marvelous Light Consultants NPPES

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

MARVELOUS LIGHT CONSULTANTS (NPI 1922145325) is a healthcare organization registered as a professional in Decatur, Georgia and active in the NPI registry since February 2007. The organization lists Dewanda B. Jackson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922145325
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameMARVELOUS LIGHT CONSULTANTS
Location Address4484 COVINGTON HWY, SUITE 100ADecatur, GA 30035-1203
Mailing AddressPo Box 1501Lithonia, GA 30058-1007 · (404) 286-0054 · Fax (404) 286-0064
Phone(404) 286-0054
Fax(404) 286-0064
Organization SubpartNo
Authorized OfficialDewanda B. JacksonCeo · (404) 286-0054
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJune 19, 2008
✔ NPI 1922145325 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 · LPC002390
4484 COVINGTON HWY, Decatur, GA 30035
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marvelous Light Consultants is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Marvelous Light Consultants, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Dewanda Jackson, LPC, CPCS, EAU-C
Mental Health Counselor
NPI 1184761561
4319 COVINGTON HWY STE 110
Decatur, GA 30035
(404) 286-0054
✔ PECOS✔ Accepts Medicare0.4 mi
Devon Briggs, MD
Psychiatry
NPI 1649259714
920 DANNON VW SW STE 3104
Atlanta, GA 30331
(404) 629-3933
✔ PECOS✔ Accepts Medicare17 mi

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

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 Marvelous Light Consultants's NPI number?

The NPI number for Marvelous Light Consultants is 1922145325. It was assigned to this organization in the NPPES registry on February 1, 2007.

Where is Marvelous Light Consultants located?

Marvelous Light Consultants is located at 4484 Covington Hwy Suite 100A, Decatur, GA 30035. The listed phone number is (404) 286-0054.

What is Marvelous Light Consultants's specialty?

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

Is Marvelous Light Consultants enrolled in Medicare?

Yes. Marvelous Light Consultants is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marvelous Light Consultants?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Marvelous Light Consultants, in Mental Health Counselor and Psychiatry. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Marvelous Light Consultants was last updated on June 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.