Active NPI
Carol Lee Guthrie, MA, MED, NCC, LAPC
- Professional Counselor
- Marietta, GA
National Provider Identifier
1164766333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC003665
- Practice address
- 1640 Powers Ferry Rd SE
Building 16, Suite 100
Marietta, GA 30067-5491 - Phone
- (404) 502-9824
- NPI assigned
- Nov 12, 2012
- Last updated
- Nov 12, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC003665 | GA | Primary |
Addresses
Primary practice location
1640 Powers Ferry Rd SE
Building 16, Suite 100
Marietta, GA 30067-5491
Mailing address
1640 Powers Ferry Rd SE
Building 16, Suite 100
Marietta, GA 30067-5491
Phone (404) 502-9824
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 Arts, Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC003665 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trillium Springs LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352678400000",
"number": "1164766333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 POWERS FERRY RD SE",
"address_2": "BUILDING 16, SUITE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300675491",
"telephone_number": "404-502-9824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 POWERS FERRY RD SE",
"address_2": "BUILDING 16, SUITE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300675491",
"telephone_number": "404-502-9824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTHRIE",
"first_name": "CAROL",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "MA, MED, NCC, LAPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-12",
"last_updated": "2012-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC003665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.