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

William Cottrell-Jackson, LPC, NCC

Individual provider Professional Counselor · NPI 1083171896

William Cottrell-Jackson, LPC, NCC is a Mental Health Counselor in Athens, Georgia. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in Georgia and Michigan.

Years since qualifying
9
Licensed in
GA, MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

888 Horizon Blvd Apt 314
Athens, GA 30606-1136
Phone: (404) 805-8468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC012968 (GA)
Professional Counselor Taxonomy 101YP2500X · Licence 6401224328 (MI)

Record details

NPI number1083171896
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LPC , NCC
Sole proprietorYes
NPI enumeratedFebruary 28, 2019
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address888 Horizon Blvd Apt 314, Athens, GA 30606-1136

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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