Individual provider Active NPI

Emily Clarice Weller, APC

  • Mental Health Counselor
  • Dahlonega, GA
National Provider Identifier
1003603317
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010224 Issued in GA
Practice address
72 Public SQ N Ste B
Dahlonega, GA 30533-1254
Phone
(706) 864-5674
NPI assigned
Apr 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 010224 GA Primary

Addresses

Primary practice location

72 Public SQ N Ste B
Dahlonega, GA 30533-1254

Mailing address

72 Public SQ N Ste B
Dahlonega, GA 30533-1254
Phone (706) 864-5674

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

LicenseStateTypeSpecialty
010224GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Skye Helps Mental Health CurrentSince Apr 27, 2025 Accepting new patients

Locations

72 Public Sq N
Ste B
Dahlonega, GA 30533
Phone (678) 381-1687

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1003603317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 PUBLIC SQ N STE B",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331254",
            "telephone_number": "706-864-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 PUBLIC SQ N STE B",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331254",
            "telephone_number": "706-864-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLER",
        "first_name": "EMILY",
        "middle_name": "CLARICE",
        "credential": "APC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "010224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dahlonega, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.