COURTNEY JACKSON
NPI 1992352421
Peer Specialist in Atlanta, GA

Active since August 20, 2019
250 GEORGIA AVE SE, SUITE 206, ATLANTA, GA 30312(202) 441-3364 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Courtney Jackson NPPES

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

COURTNEY JACKSON (NPI 1992352421) is an individual peer specialist in Atlanta, Georgia and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1992352421
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameCOURTNEY JACKSON
Location Address250 GEORGIA AVE SE, SUITE 206Atlanta, GA 30312
Mailing Address250 Georgia Ave Se, Suite 206Atlanta, GA 30312
Sole ProprietorYes
Enumeration DateAugust 20, 2019
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
NPI 1992352421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
250 GEORGIA AVE SE, Atlanta, GA 30312

Other Providers at the Same Location NPPES 20

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

Durable Medical Equipment & Medical Supplies
250 GEORGIA AVE SE, SUITE 206
ATLANTA, GA 30312
Counselor (Professional)
250 GEORGIA AVE SE, SUITE 206
ATLANTA, GA 30312
Social Worker (Clinical)
250 GEORGIA AVE SE, SUITE 206
ATLANTA, GA 30312
Community/Behavioral Health
250 GEORGIA AVE SE, STE 206
ATLANTA, GA 30312
Psychologist
250 GEORGIA AVE SE, SUITE 205
ATLANTA, GA 30312
Social Worker (Clinical)
250 GEORGIA AVE SE, SUITE 310
ATLANTA, GA 30312
Community/Behavioral Health
250 GEORGIA AVE SE, SUITE 310
ATLANTA, GA 30312
Counselor (Mental Health)
250 GEORGIA AVE SE
ATLANTA, GA 30312

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992352421, enumerated as an "individual" on August 20, 2019.

The provider is located at 250 GEORGIA AVE SE SUITE 206 ATLANTA, GA 30312 and the phone number is (202) 441-3364.

Peer Specialist with taxonomy code 175T00000X.