Anna E. Packer, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC009246 Issued in GA

Practice address

300 Broadway Ave
Braselton, GA 30517

Phone

(470) 208-3080

NPI assigned

Oct 18, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1265983902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305170011",
            "telephone_number": "470-208-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BROADWAY AVE",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "30517",
            "telephone_number": "470-208-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKER",
        "first_name": "ANNA",
        "middle_name": "E.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Okoli, MD,MHS
• Laura Osborne
• Olaniyi Olabode Osofisan, M.D.
• Candice Owens, FNP-C
• Adebimpe Wakilat Oyowe, M.D. PHD.
• Adelina Paduraru, MS, RD, LD
• Joel Nathaniel Palmer, D.O.
• Jun Pan, LMT
• Stuti Parikh, M.D.
• Han Sol Park, DO

• Professional Counselor in Braselton, GA
• Providers in Braselton, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.