Active NPI
Olivia Chante' Frazier, LPC
- Professional Counselor
- Tyrone, GA
National Provider Identifier
1346562774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC005812
- Practice address
- 130 Howell Rd Ste D
Tyrone, GA 30290-2097 - Phone
- (404) 451-1631
- NPI assigned
- Feb 26, 2010
- Last updated
- Mar 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC005812 | GA | Primary |
Addresses
Primary practice location
130 Howell Rd Ste D
Tyrone, GA 30290-2097
Mailing address
595 Old Greenville Rd
Fayetteville, GA 30215-5930
Phone (404) 451-1631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 30, 2024 through Sep 30, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC005812 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transform You LLC | Professional | Current | Accepting new patients |
| Discovery Counseling and Assessment Center, LLC | Professional | Past | Accepting new patients |
Locations
130 Howell Rd
Ste D
Tyrone, GA 30290
Phone (404) 451-1631
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Tyrone, GA
- NPI 1508483389
-
- Professional Counselor
- Sharpsburg, GA
- NPI 1629439617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1346562774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 OLD GREENVILLE RD",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302155930",
"telephone_number": "404-451-1631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 HOWELL RD STE D",
"city": "TYRONE",
"state": "GA",
"postal_code": "302902097",
"telephone_number": "404-451-1631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "OLIVIA",
"middle_name": "CHANTE'",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-26",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyrone, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.