Active NPI
Brittany Lilly, MA, APC
- Professional Counselor
- Villa Rica, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC006363
- Practice address
- 101 Quartz Dr Ste 103a
Villa Rica, GA 30180-3201 - Phone
- (770) 812-3598
- NPI assigned
- Nov 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC006363 | GA | Primary |
Addresses
Primary practice location
101 Quartz Dr Ste 103a
Villa Rica, GA 30180-3201
Mailing address
109 Pecan St
Bremen, GA 30110-1933
Phone (770) 843-3783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
100 Greenway Blvd
Carrollton, GA 30117-4338
100 Greenway Blvd
Carrollton, GA 30117-4359
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC006363 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMC-Behavioral Health of West Georgia | Current | Accepting new patients |
Locations
101 Doctors Dr
Carrollton, GA 30117
Phone (770) 812-8863
101 Quartz Dr
Ste 103A
Villa Rica, GA 30180
Phone (770) 456-3266
101 Quartz Dr
Ste 103B
Villa Rica, GA 30180
Phone (770) 812-3580
Organizations & group practices 1
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.
-
- Geriatric Psychiatry Physician
- Villa Rica, GA
- NPI 1356795462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574812800000",
"number": "1124664941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 PECAN ST",
"city": "BREMEN",
"state": "GA",
"postal_code": "301101933",
"telephone_number": "770-843-3783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 QUARTZ DR STE 103A",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301803201",
"telephone_number": "770-812-3598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLY",
"first_name": "BRITTANY",
"credential": "MA, APC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-27",
"last_updated": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC006363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Villa Rica, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.