Individual provider Active NPI

Anna Nance, LPC

  • Professional Counselor
  • Sharpsburg, GA
National Provider Identifier
1043754583
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC007649 Issued in GA
Practice address
820 Ebenezer Church Rd Ste 110
Sharpsburg, GA 30277-2073
Phone
(404) 960-1282
Fax
(855) 817-2428
NPI assigned
Dec 16, 2016
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APC004934 GA
Professional Counselor 101YP2500X LPC007649 GA Primary

Addresses

Primary practice location

820 Ebenezer Church Rd Ste 110
Sharpsburg, GA 30277-2073

Mailing address

410 Murry Park
Peachtree City, GA 30269-2622
Phone (404) 960-1282

Other practice location 1

420 Thomaston St
Zebulon, GA 30295-3387
Phone (404) 960-1282

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
APC004934GAMDMental Health Counselor
LPC007649GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prism Counseling Services Mental Health Current Accepting new patients
Discovery Counseling and Assessment Center, LLC Professional PastSince Jan 26, 2018 Accepting new patients

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": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043754583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MURRY PARK",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302692622",
            "telephone_number": "404-960-1282",
            "fax_number": "855-817-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 EBENEZER CHURCH RD STE 110",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302772073",
            "telephone_number": "404-960-1282",
            "fax_number": "855-817-2428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Thomaston St",
            "address_purpose": "LOCATION",
            "city": "Zebulon",
            "state": "GA",
            "postal_code": "302953387",
            "country_code": "US",
            "telephone_number": "404-960-1282",
            "fax_number": "855-817-2428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANCE",
        "first_name": "ANNA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC004934",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharpsburg, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.