Active NPI
Chacana Gaulden, LPC
- Professional Counselor
- Savannah, GA
National Provider Identifier
1063134682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC013023
- Practice address
- 300 Commercial CT Ste F
Savannah, GA 31406-2676 - Phone
- (912) 503-5744
- Fax
- (912) 335-6559
- NPI assigned
- Sep 12, 2022
- Last updated
- May 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC013023 | GA | |
| Professional Counselor | 101YP2500X | LPC013023 | GA | Primary |
Addresses
Primary practice location
300 Commercial CT Ste F
Savannah, GA 31406-2676
Mailing address
700 Commercial CT Ste 102
Savannah, GA 31406-3675
Phone (912) 503-5744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC013023 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Mental Health | Current | Accepting new patients |
| Madeleine Shaver, LCSW LLC | Professional | Past | Accepting new patients |
Locations
3424 Peachtree Rd NE
Ste 2200
Atlanta, GA 30326
Phone (404) 436-2563
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": "1662940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1063134682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 COMMERCIAL CT STE 102",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063675",
"telephone_number": "912-503-5744",
"fax_number": "912-335-6559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 COMMERCIAL CT STE F",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062676",
"telephone_number": "912-503-5744",
"fax_number": "912-335-6559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAULDEN",
"first_name": "CHACANA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-12",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC013023",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC013023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.