Individual provider Active NPI

Charles L Britt Jr., MS, LPC, NCC, CPCS

  • Professional Counselor
  • Cumming, GA
National Provider Identifier
1255504015
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC002826 Issued in GA
Practice address
327 Dahlonega St Ste B302
Cumming, GA 30040-2485
Phone
(678) 571-7505
Fax
(678) 845-6286
NPI assigned
Apr 11, 2008
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC002826 GA
Professional Counselor 101YP2500X LPC002826 GA Primary

Addresses

Primary practice location

327 Dahlonega St Ste B302
Cumming, GA 30040-2485

Mailing address

137 Prominence CT Ste 220
Dawsonville, GA 30534-8939
Phone (706) 216-4735

Other practice location 1

327 Dahlonega St
Suite 302B
Cumming, GA 30040-2480
Phone (678) 571-7505

Other identifiers 1

IdentifierTypeStateIssuer
539682443AMedicaidGA

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 Science

State licenses

LicenseStateTypeSpecialty
LPC002826GAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Hope Counseling, Inc Professional 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": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1255504015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 PROMINENCE CT STE 220",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305348939",
            "telephone_number": "706-216-4735",
            "fax_number": "706-216-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 DAHLONEGA ST STE B302",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402485",
            "telephone_number": "678-571-7505",
            "fax_number": "678-845-6286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Dahlonega St",
            "address_2": "Suite 302B",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300402480",
            "country_code": "US",
            "telephone_number": "678-571-7505",
            "fax_number": "770-886-7148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRITT",
        "first_name": "CHARLES",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MS, LPC, NCC, CPCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC002826",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC002826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "539682443A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.