Dametria Carson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC009735 Issued in GA

Practice address

3895 Mountain View Rd NW
Kennesaw, GA 30152-2388

Phone

(404) 314-7889

NPI assigned

Nov 13, 2024

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1295559490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3895 MOUNTAIN VIEW RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301522388",
            "telephone_number": "404-314-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 MOUNTAIN VIEW RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301522388",
            "telephone_number": "404-314-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "DAMETRIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC009735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "LPC009735",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Diagnostics
• Lenai Carraway
• Krystle Carrington, PHARMD
• Danielle Carroll
• Jacquelenette Carroll
• Alfred Ball Carter IV, MA
• Elaine Hall Carter
• Kenneth Earl Carter Jr.
• Michelle Carter, M.S. CCC-SLP
• Jaclyn Michelle Caserta, SLP

• Mental Health Counselor in Kennesaw, GA
• Providers in Kennesaw, 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 Nov 13, 2024; 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.