Individual provider Active NPI

Christen Anglin, LPC

  • Professional Counselor
  • Decatur, GA
National Provider Identifier
1144947730
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC012932 Issued in GA
Practice address
3312 Glenwood Rd
Decatur, GA 30032-4274
Phone
(678) 876-4509
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC012932 GA Primary

Addresses

Primary practice location

3312 Glenwood Rd
Decatur, GA 30032-4274

Mailing address

1926 Hosea L Williams Dr NE Unit 170425
Atlanta, GA 30317-2280
Phone (678) 876-4509

Other practice location 1

1301 Shiloh Rd NW Ste 530
Kennesaw, GA 30144-7153
Phone (404) 381-2462

Other practice location 2

479 Oakside Dr SW
Atlanta, GA 30331-3724
Phone (678) 876-4509

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

LicenseStateTypeSpecialty
LPC012932GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trust the Process Counseling Professional CurrentSince Nov 12, 2023 Accepting new patients

Locations

1926 Hosea L Williams Dr NE
Unit 170425
Atlanta, GA 30317

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.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1144947730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 HOSEA L WILLIAMS DR NE UNIT 170425",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303172280",
            "telephone_number": "678-876-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 GLENWOOD RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300324274",
            "telephone_number": "678-876-4509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Shiloh Rd NW Ste 530",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301447153",
            "country_code": "US",
            "telephone_number": "404-381-2462",
            "fax_number": "678-676-4509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "479 Oakside Dr SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303313724",
            "country_code": "US",
            "telephone_number": "678-876-4509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGLIN",
        "first_name": "CHRISTEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC012932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.