OrganizationActive
Amy Jacques LLC
NPI 1508431966 · Professional Counselor · Gainesville, GA
Provider details
- NPI number
- 1508431966
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Amy Jacques, Director(678) 632-6169
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
610 Candler St
Gainesville, GA 30501-3334
Phone: (678) 632-6169
Fax: (678) 943-1197
Street-level locationGet directions
Mailing address
2565 Thompson Bridge Rd Ste 111
Gainesville, GA 30501-1723
Registry dates
- Enumerated
- 2021-05-26
- Last updated
- 2023-03-30
- Certified
- 2023-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.