Brentia J Caldwell, ED.S., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC009978 Issued in GA

Practice address

3205 River Shoals CV
Decatur, GA 30034-6778

Phone

(404) 797-9755

NPI assigned

Sep 29, 2019

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

State licenses

Practice roles

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 Up Center, LLC

  • Mental Health Counselor
  • Decatur, GA
  • NPI 1952997249
  NPD Authorized official

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

{
    "created_epoch": "1569715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569715200000",
    "number": "1295386423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 RIVER SHOALS CV",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300346778",
            "telephone_number": "404-797-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 RIVER SHOALS CV",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300346778",
            "telephone_number": "404-797-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "BRENTIA",
        "middle_name": "J",
        "credential": "ED.S., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-29",
        "last_updated": "2019-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC009978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Cagle, M.S.
• Thomas Douglas Cain, DPM
• Charelle Lenita Caise, APRN, AGPCNP-BC
• Claudia Calderon, LPC
• Louis Aaron Calderon, M.D.
• Evelyn Calhoun, RN
• Michael Eugene Callahan, PA-C
• Tonya Callahan
• Tamora A Callands, PHD
• Christine Callaway, MD

• Mental Health Counselor in Decatur, GA
• Providers in Decatur, 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 Sep 29, 2019; 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.