Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

James Sample Elliott Jr., LPC

Individual provider Professional Counselor · NPI 1245795384

James Sample Elliott Jr., LPC is a Mental Health Counselor in Smyrna, Georgia. Qualified in 2015, 11 years ago. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2019
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

400 Technology Ct SE Ste J
Smyrna, GA 30082-5237
Phone: (770) 431-2354
Fax: (770) 436-7143
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC010314 (GA)

Record details

NPI number1245795384
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedFebruary 3, 2019
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Smyrna