Active NPI
Carrie Lynn Elder, LPC, ATR-BC
- Professional Counselor
- Snellville, GA
National Provider Identifier
1003108374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC005848
- Practice address
- 3880 Laurel Brook Way
Snellville, GA 30039-6488 - Phone
- (770) 971-9311
- NPI assigned
- May 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC005848 | GA | Primary |
Addresses
Primary practice location
3880 Laurel Brook Way
Snellville, GA 30039-6488
Mailing address
3880 Laurel Brook Way
Snellville, GA 30039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC005848 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304553600000",
"number": "1003108374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3880 LAUREL BROOK WAY",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "30039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3880 LAUREL BROOK WAY",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300396488",
"telephone_number": "770-971-9311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDER",
"first_name": "CARRIE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LPC, ATR-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-05",
"last_updated": "2011-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.