Mildred Watson, PSD, LPC, CPCS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC7950 Issued in GA

Practice address

8303 Office Park Dr Ste B
Douglasville, GA 30134-6935

Phone

(678) 838-8333

NPI assigned

Oct 2, 2018

Sex

Female

Sole proprietor

Yes

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Southeast Permanente Medical Group

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1245266956

  Multi-Specialty

  Medicare reassignment NPD
• Ferris Healthcare Group

  • Adult Mental Health Clinic/Center
  • Atlanta, GA
  • NPI 1538712088
  NPD Authorized official
• New Vision Counseling Center, LLC

  • Professional Counselor
  • Douglasville, GA
  • NPI 1578704250

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1225513567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 OFFICE PARK DR STE B",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 OFFICE PARK DR STE B",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346935",
            "telephone_number": "678-838-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MILDRED",
        "name_prefix": "Dr.",
        "credential": "PSD, LPC, CPCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC7950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Goodson Watkins, AUD
• Donna McLemore Watkins, LPC
• Paige Watkins, RN
• Janine Kennedy Watley
• Ebony S Watson, LMT
• Shawanna L Watson
• Charlotte Watts, OTD
• Christopher Jamarl Watts, M.D.
• Wavlinq Care LTD Co.
• Roger Louis Weaver, PA-C

• Mental Health Counselor in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.