NPIMap

Individual provider Active NPI

Carla Y. Garvin, LPC

  • Professional Counselor
  • Decatur, GA
National Provider Identifier
1356390587
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004621 Issued in GA
Practice address
4150 Snapfinger Woods Dr Ste 208
Decatur, GA 30035-3417
Phone
(470) 225-6050
Fax
(470) 819-4816
NPI assigned
May 6, 2006
Last updated
Jul 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4696 SC
Professional Counselor 101YP2500X LPC004621 GA Primary

Addresses

Primary practice location

4150 Snapfinger Woods Dr Ste 208
Decatur, GA 30035-3417

Mailing address

4150 Snapfinger Woods Dr Ste 208
Decatur, GA 30035-3417
Phone (470) 225-6050

Other names 1

  • Ms. Carla Y. Wright Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC004621GAMDProfessional Counselor
4696SCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Counseling Professionals Current Accepting new patients
Insight Therapy, PC Current Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Uplift Counseling Center Professional Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: carlagarvin@tdh.allscriptsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1356390587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 SNAPFINGER WOODS DR STE 208",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353417",
            "telephone_number": "470-225-6050",
            "fax_number": "470-419-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 SNAPFINGER WOODS DR STE 208",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353417",
            "telephone_number": "470-225-6050",
            "fax_number": "470-819-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVIN",
        "first_name": "CARLA",
        "middle_name": "Y.",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-06",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4696",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "WRIGHT",
            "middle_name": "Y.",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.