Individual provider Active NPI

Nicholas M Valdes, MA, CAADC

  • Mental Health Counselor
  • Cumming, GA
National Provider Identifier
1053904276
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC015362 Issued in GA
Practice address
1730 Whispering Cir
Cumming, GA 30040-4504
Phone
(404) 579-8687
NPI assigned
Feb 18, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C0323 GA
Mental Health Counselor 101YM0800X LPC015362 GA Primary

Addresses

Primary practice location

1730 Whispering Cir
Cumming, GA 30040-4504

Mailing address

380 Dahlonega St Ste 100
Cumming, GA 30040-8219
Phone (678) 771-8468

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C0323GAMDAddiction (Substance Use Disorder) Counselor
LPC015362GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carter Treatment Center CurrentSince Jun 29, 2025 Accepting new patients
Carter Treatment Center PastSince Feb 21, 2021 Accepting new patients

Locations

380 Dahlonega St
Ste 100
Cumming, GA 30040
Phone (678) 737-4430

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1053904276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 DAHLONEGA ST STE 100",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408219",
            "telephone_number": "678-771-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 WHISPERING CIR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300404504",
            "telephone_number": "404-579-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES",
        "first_name": "NICHOLAS",
        "middle_name": "M",
        "credential": "MA, CAADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-18",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "C0323",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC015362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.