Active NPI
Charles Luther, MS, LPC, CRC, NCC
- Mental Health Counselor
- Buford, GA
National Provider Identifier
1144974171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC014297
- Practice address
- 4330 S Lee St Ste 800a
Buford, GA 30518-5797 - Phone
- (678) 866-4065
- NPI assigned
- Feb 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC014297 | GA | Primary |
Addresses
Primary practice location
4330 S Lee St Ste 800a
Buford, GA 30518-5797
Mailing address
5097 Fellowship Dr
Buford, GA 30519-3492
Phone (770) 335-8081
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | charlie@obriencouplestherapy.com |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC014297 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardinal Family Counseling LLC | Mental Health | Current | Accepting new patients |
Locations
4330 S Lee St
Ste 800A
Buford, GA 30518
Phone (404) 941-5888
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.
-
- Mental Health Counselor
- Buford, GA
- NPI 1902740509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1144974171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5097 FELLOWSHIP DR",
"city": "BUFORD",
"state": "GA",
"postal_code": "305193492",
"telephone_number": "770-335-8081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 S LEE ST STE 800A",
"city": "BUFORD",
"state": "GA",
"postal_code": "305185797",
"telephone_number": "678-866-4065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTHER",
"first_name": "CHARLES",
"credential": "MS, LPC, CRC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-08",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC014297",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "charlie@obriencouplestherapy.com",
"affiliation": "N",
"address_1": "2964 Vinson Ct",
"city": "Buford",
"state": "GA",
"country_code": "US",
"postal_code": "305183505",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.