Winter Charnae Foddrell, MA, LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC011302 Issued in GA

Practice address

1244 Clairmont Rd Ste 204
Decatur, GA 30030-1263

Phone

(470) 205-0355

NPI assigned

Feb 18, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1114550282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 ROCK MEADOW DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300881507",
            "telephone_number": "336-280-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 CLAIRMONT RD STE 204",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301263",
            "telephone_number": "470-205-0355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2751 Buford Hwy NE Ste 707",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303243207",
            "country_code": "US",
            "telephone_number": "470-205-0355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FODDRELL",
        "first_name": "WINTER",
        "middle_name": "CHARNAE",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC011302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wax D Flowers, LCSW
• Candace Denise Floyd, RN MSN BC
• Courtney Madison Floyd, SLP
• Janet Haas Fluker, LPC
• Sara Flynn
• Allison Foley, MMSC, CGC
• Jennifer Alicia Fong, DDS
• Emma Byrne Fontenot
• Foot Solutions of Georgia
• Jacqueline Harrison Foote, LMSW

• Mental Health Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.