Fern Haven Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

FERN HAVEN COUNSELING, LLC

Practice address

119 Maple St Ste 100
Carrollton, GA 30117-3259

Phone

(770) 467-3569

NPI assigned

Apr 30, 2026

Organization subpart

No

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

Authorized official

Name

Robin Gordon, LPCNPI 1699367987

Title

Owner

Phone

(770) 467-3569

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robin Wilson Gordon, LPC

  • Professional Counselor
  • Carrollton, GA
  • NPI 1699367987
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1124965942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 ROME ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301172235",
            "telephone_number": "770-467-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MAPLE ST STE 100",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173259",
            "telephone_number": "770-467-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERN HAVEN COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-467-3569",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damion Farrow
• Sarah L Faver
• Daniel Michael Feckoury
• Taylor Fehr
• Mary M Feldman, MD
• Gary Stephen Fields, D.P.M.
• Richard J. Fiore, D.C.
• Brenda Fitzgerald, M.D.
• Thomas Fitzgerald III, M.D.
• Ralph E Fleck Jr., M.D.

• Professional Counselor in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.