Douglas E Sills, LPC# 004634

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC 004634 Issued in GA

Practice address

150A Johnson St
Dahlonega, GA 30533-0501

Phone

(706) 864-6822

NPI assigned

Jun 4, 2009

Last updated

Jun 4, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avita Community Partner

  • Community/Behavioral Health Agency
  • Dahlonega, GA
  • NPI 1548403280
  Authorized official Same address or phone

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1164658183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4331 THURMON TANNER RD",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305422829",
            "telephone_number": "678-513-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150A JOHNSON ST",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305330501",
            "telephone_number": "706-864-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLS",
        "first_name": "DOUGLAS",
        "middle_name": "E",
        "credential": "LPC# 004634",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC 004634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanna Scoggin
• Shelley Jo Sears, PA
• Stacy Elizabeth Seikel, MD
• Sally Kendall Duggan Sfeir, PA-C
• Chase Shook, MD
• Vickie Simmons, FNP
• Carrie S. Sisk, FNP
• Skye Helps (SkyeHelps Counseling & Wellness)
• Marina Slemmons, PHD, RN, CPNP
• Alexandra Renata Slone, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.