Individual provider Active NPI

Scarlet Adana Chatman, NCC LPC

  • Counselor
  • Duluth, GA
National Provider Identifier
1013259829
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
007044 Issued in GA
Practice address
116 Plantation Trace Dr
Duluth, GA 30096-1600
Phone
(678) 744-9567
Fax
(678) 623-3323
NPI assigned
Mar 19, 2013
Last updated
Feb 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 007044 GA Primary
Early Intervention Provider Agency 252Y00000X NU

Addresses

Primary practice location

116 Plantation Trace Dr
Duluth, GA 30096-1600

Mailing address

116 Plantation Trace Dr
Duluth, GA 30096-1600
Phone (470) 504-3438

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
007044GAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sane Associates LLC Early Intervention Provider Agency CurrentSince Feb 24, 2022 Accepting new patients
Sane Associates LLC Early Intervention Provider Agency CurrentSince May 16, 2021 Accepting new patients

Locations

3470 McClure Bridge Rd
Unit 395
Duluth, GA 30096

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1013259829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 PLANTATION TRACE DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961600",
            "telephone_number": "470-504-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 PLANTATION TRACE DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961600",
            "telephone_number": "678-744-9567",
            "fax_number": "678-623-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATMAN",
        "first_name": "SCARLET",
        "middle_name": "ADANA",
        "name_prefix": "Ms.",
        "credential": "NCC LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "007044",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.