Active NPI
Juliet A Singletary, MA, LPC
- Mental Health Counselor
- Berkeley Lake, GA
National Provider Identifier
1205831609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3566
- Practice address
- 4530 S Berkeley Lake Rd
Suite B
Berkeley Lake, GA 30071-1660 - Phone
- (678) 336-6797
- Fax
- (770) 446-5643
- NPI assigned
- Jun 14, 2005
- Last updated
- May 14, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3566 | NC | Primary |
| Professional Counselor | 101YP2500X | 008045 | GA |
Addresses
Primary practice location
4530 S Berkeley Lake Rd
Suite B
Berkeley Lake, GA 30071-1660
Mailing address
4530 S Berkeley Lake Rd
Suite B
Berkeley Lake, GA 30071-1660
Phone (678) 336-6797
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2202806 | Other | NC | CIGNA |
| 346038 | Other | NC | MANAGED HEALTH NETWORK |
| 003154725A | Medicaid | GA | |
| 137H0 | Other | NC | BCBS |
| 7690675 | Other | NC | AETNA |
| 6102241 | Medicaid | NC |
Other names 1
- Juliet A Stroud-Price
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008045 | GA | MD | Professional Counselor |
| 3566 | NC | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juliet a Singletary, Ma, LPC, LLC | Professional | Current | 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.
-
dba Juliet a Singletary,Ma, LPC
- Professional Counselor
- Suwanee, GA
- NPI 1851146310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431561600000",
"number": "1205831609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 S BERKELEY LAKE RD",
"address_2": "SUITE B",
"city": "BERKELEY LAKE",
"state": "GA",
"postal_code": "300711660",
"telephone_number": "678-336-6797",
"fax_number": "770-446-5643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 S BERKELEY LAKE RD",
"address_2": "SUITE B",
"city": "BERKELEY LAKE",
"state": "GA",
"postal_code": "300711660",
"telephone_number": "678-336-6797",
"fax_number": "770-446-5643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGLETARY",
"first_name": "JULIET",
"middle_name": "A",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-14",
"last_updated": "2015-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "3566",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "008045",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2202806",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "346038",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003154725A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "137H0",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7690675",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102241",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIET",
"last_name": "STROUD-PRICE",
"middle_name": "A",
"credential": "MA, LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Berkeley Lake, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.