Active NPI
Meagan Caridad Arrastia-Chisholm, LPC
- Mental Health Counselor
- Thomasville, GA
National Provider Identifier
1124842273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC015093
- Practice address
- 313 N Mitchell St
Thomasville, GA 31792-4629 - Phone
- (407) 421-4058
- NPI assigned
- Nov 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC015093 | GA | |
| Professional Counselor | 101YP2500X | LPC015093 | GA | |
| Mental Health Counselor | 101YM0800X | LPC015093 | GA | Primary |
Addresses
Primary practice location
313 N Mitchell St
Thomasville, GA 31792-4629
Mailing address
313 N Mitchell St
Thomasville, GA 31792-4629
Phone (407) 421-4058
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC015093 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1124842273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 N MITCHELL ST",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317924629",
"telephone_number": "407-421-4058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 N MITCHELL ST",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317924629",
"telephone_number": "407-421-4058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARRASTIA-CHISHOLM",
"first_name": "MEAGAN",
"middle_name": "CARIDAD",
"name_prefix": "Dr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-14",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "LPC015093",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC015093",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC015093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.