Mary Theresa Jackson, LPC
Professional Counselor · Ellabell, GA
Mary Theresa Jackson, LPC is a professional counselor with a practice address in Ellabell, Georgia, and NPI 1699121129, issued on May 13, 2016. Check the license (Georgia LPC011711, as entered in NPPES) with the Georgia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Mary Theresa Jackson
- Credential
- LPC
- Primary taxonomy
- Professional Counselor 101YP2500X
- License number
- LPC011711 GA
Self-reported in NPPES; status is on the state search - Practice location
- 345 Old Cuyler RD, Ellabell, GA 31308
- Phone
- (912) 320-3205
- Enumerated
- May 13, 2016
- Record last updated
- Nov 27, 2023
- Medicare enrollment
- Enrolled (PECOS I20251223004388); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest professional counselor records → All 6,496 in Georgia → Look up another NPI →
Verify Mary Theresa Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license LPC011711Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Mary Theresa Jackson among 6,496 professional counselor records in Georgia
Mary Theresa Jackson, LPC is one of 6,496 professional counselor records with a practice address in Georgia. 7% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2016, is newer than 46% of them.
- NPI issued2016 · 46% of these records are older, 48% newer
- In a Medicare fileNo · 7% of these records are
- In the CMS Doctors and Clinicians fileYes · 13% of these records are
- Graduated2016 · median 2013 among the 845 with a school on file
- Record last updated2023 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YP2500X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
2 professional counselor records list a practice address in Ellabell
They are 2 of the 21 NPPES records with a practice address in Ellabell, and 6,496 professional counselor records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 6,496 in Georgia → Every provider in Ellabell → Professional Counselor nationwide →
The 8 professional counselor records with the nearest ZIP codes
- Karen Kearby, PSYD, LPC-MHSP, NCCEllabell, GA 313081912544776
- R Carter, LPCDarien, GA 313051316993751
- Lisa Futch, LPCDarien, GA 313051902080104
- Robert Green, LPCDarien, GA 313051255528014
- Barbara Strickland, LPCDarien, GA 313051326094004
- Martha Thompson, LPC; NCCDarien, GA 313051629358809
- Crystal Malloy, PHD, LPC, MAC, CEAPGuyton, GA 313121679958771
- Tanja Supon-Clause, MA LPCGuyton, GA 313121639638703
Common questions
What is Mary Theresa Jackson, LPC's NPI number?
Mary Theresa Jackson, LPC's National Provider Identifier (NPI) is 1699121129, issued on May 13, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Mary Theresa Jackson, LPC located?
The NPPES record lists a practice address at 345 Old Cuyler RD, Ellabell, GA, 31308. Phone: (912) 320-3205. Providers update this record themselves, so call before visiting.
How can I verify Mary Theresa Jackson, LPC's license?
NPPES lists Georgia license number LPC011711, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.