Nicolette Chain Culbreath, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008852 Issued in GA

Practice address

2420 Wood Meadows Dr SW
Marietta, GA 30064-4471

Phone

(678) 933-6526

NPI assigned

Apr 12, 2016

Sex

Female

Sole proprietor

No

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

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.

• Infinity Counseling LLC

  • Community/Behavioral Health Agency
  • Marietta, GA
  • NPI 1710341011
  NPD (past) Authorized official

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1306200605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 WOOD MEADOWS DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644471",
            "telephone_number": "678-933-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 WOOD MEADOWS DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644471",
            "telephone_number": "678-933-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULBREATH",
        "first_name": "NICOLETTE",
        "middle_name": "CHAIN",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margot B Cseley, MD
• Karl E Csepi, C.S.A
• CSJ Professional Counseling Services, Inc.
• CSW & Co. LLC
• Dana Cuffy
• Jerold F. Culpepper, D.C.
• Cultivating Wellness LLC.
• Cumberland Lifespan Consultants, P.C.
• Cumberland Medical Staffing
• Cumberland OBGYN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.