Active NPI
Carla Andranette Brown
- Professional Counselor
- Stone Mountain, GA
National Provider Identifier
1194300962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC011744
- Practice address
- 5641 Shadow View Dr
Stone Mountain, GA 30087-2953 - Phone
- (313) 318-5517
- NPI assigned
- Mar 13, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC011744 | GA | Primary |
Addresses
Primary practice location
5641 Shadow View Dr
Stone Mountain, GA 30087-2953
Mailing address
2611 Pautone Trce
Decatur, GA 30032-6539
Phone (313) 318-5517
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.ambricounseling.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Atlanta, GA 30374
PO Box
Suite 748465
Atlanta, GA 30374-8465
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC011744 | GA | MD | Professional Counselor |
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": "1615593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1194300962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 PAUTONE TRCE",
"city": "DECATUR",
"state": "GA",
"postal_code": "300326539",
"telephone_number": "313-318-5517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5641 SHADOW VIEW DR",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300872953",
"telephone_number": "313-318-5517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "CARLA",
"middle_name": "ANDRANETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-13",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC011744",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.ambricounseling.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2611 Pautone Trce",
"city": "Decatur",
"state": "GA",
"country_code": "US",
"postal_code": "300326539",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.