Active NPI
Linda Guillard Pugh, PHD
- Mental Health Counselor
- Tyrone, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC014603
- Practice address
- 100 Glendalough CT Ste E
Tyrone, GA 30290-2942 - Phone
- (770) 683-9375
- Fax
- (678) 868-2354
- NPI assigned
- Apr 2, 2024
- Last updated
- Apr 2, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC014603 | GA | Primary |
Addresses
Primary practice location
100 Glendalough CT Ste E
Tyrone, GA 30290-2942
Mailing address
100 Glendalough CT Ste E
Tyrone, GA 30290-2942
Phone (770) 683-9375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4006 Hwy 34 E
Sharpsburg, GA 30277-3531
Phone (404) 960-1282
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC014603 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Discovery Counseling and Assessment Center, LLC | Current | Accepting new patients |
Locations
4006 Highway 34 E
Sharpsburg, GA 30277
Phone (404) 844-6868
420 Thomaston St
Zebulon, GA 30295
Phone (404) 960-1282
Networks
- FL HMO
- AL HMO D-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- FL HMO D-SNP
- TN PPO C-SNP
- AL HMO
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- TN PPO
- FL HMO C-SNP
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Sharpsburg, GA
- NPI 1629439617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1003668278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GLENDALOUGH CT STE E",
"city": "TYRONE",
"state": "GA",
"postal_code": "302902942",
"telephone_number": "770-683-9375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GLENDALOUGH CT STE E",
"city": "TYRONE",
"state": "GA",
"postal_code": "302902942",
"telephone_number": "770-683-9375",
"fax_number": "678-868-2354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGH",
"first_name": "LINDA",
"middle_name": "GUILLARD",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-02",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC014603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyrone, GA
- Precision Emergency Medical Services
- Precision Pharmaceuticals LLC
- Premise Health of Georgia Medical PC (Premise Health Wellness Center)
- PT Solutions of Acworth, LLC
- Publix Super Markets Inc (Publix Pharmacy #0892)
- R&K Medcal Weight Loss Clinic
- Ninoshka Rabsatt-Smith, PT, DPT
- Kristin M Railey
- Idesta Ralph
- Scott Rappe, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.