JACK UNDERWOOD MS NCC LPC NPI 1215373485

NPI Information

  • NPI: 1215373485
  • Provider Name: JACK UNDERWOOD, MS, NCC, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 3108 PIEDMONT RD NE
    ATLANTA, GA
    ZIP 30305
  • Phone: (404) 421-5341

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NPI Details

Jack Underwood, MS, NCC, LPC is a professional counselor in Atlanta, GA. Jack Underwood, MS, NCC, LPC NPI is 1215373485. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3108 PIEDMONT RD NE
ATLANTA, GA
ZIP 30305-513
Phone: (404) 421-5341

The enumeration date for this NPI number is 5/15/2013 and was last updated on 5/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalLPC007057GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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