Irene Elizabeth Ferguson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC010204 Issued in GA

Practice address

912 Killian Hill Rd SW Ste 202E
Lilburn, GA 30047-3110

Phone

(770) 765-7759

Fax

(678) 658-2215

NPI assigned

Dec 10, 2018

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Creative Minds for Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Loganville, GA
  • NPI 1669974887
  NPD (past)

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1326519802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 KILLIAN HILL RD SW STE 202E",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473110",
            "telephone_number": "770-765-7759",
            "fax_number": "678-658-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 KILLIAN HILL RD SW STE 202E",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473110",
            "telephone_number": "770-765-7759",
            "fax_number": "678-658-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "IRENE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syeda Heena Fatima, MD
• Billie Jean Faust, LPC
• FCP Transportation
• FCP Transportation
• Stacey Lorriane Fears, NP
• Samantha Ferguson
• Melissa Fernandez, POSTPARTUM DOULA
• Aklesia Tilahun Fesseha
• Craig N Fievet, DMD
• Figueroas Chiropractic LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.