JONATHON MICHAEL PRYOR LPC, LPCC
NPI 1063996619
Counselor in Blackshear, GA

NPI Status: Active since September 19, 2018

Contact Information

6692 TANGLEWOOD DR
BLACKSHEAR, GA
ZIP 31516
Phone: (912) 590-2981

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  • Individual
  • Male
  • Counselor

About JONATHON PRYOR

This page provides the complete NPI Profile along with additional information for Jonathon Pryor, a provider established in Blackshear, Georgia with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1063996619 assigned on September 2018. The practitioner's primary taxonomy code is 101Y00000X with license number LPC010482 (GA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1063996619
Provider Name
JONATHON MICHAEL PRYOR LPC, LPCC
Gender
Male
Entity Type
Individual
Location Address
6692 TANGLEWOOD DR BLACKSHEAR, GA 31516
Location Phone
(912) 590-2981
Mailing Address
PO BOX 1884 WAYCROSS, GA 31502
Mailing Phone
(912) 590-2981
Is Sole Proprietor?
No
Enumeration Date
09-19-2018
Last Update Date
08-19-2024
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Location Map

Secondary Locations

  • 1000 G St Ste 125
    Sacramento, CA 95814
    (888) 878-8595

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
License No.
LPC010482
License State
GA
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

16923 (CA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1063996619MEDICAID (05)GA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063996619
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231891262
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 8 + 9 + 1 + 2 + 6 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1063996619 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063996619, enumerated in the NPI registry as an "individual" on September 19, 2018

The provider is located at 6692 Tanglewood Dr Blackshear, Ga 31516 and the phone number is (912) 590-2981

The provider's speciality is Counselor with taxonomy code 101Y00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 19, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.