Mark F. Griffin, ED.D., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC001942 Issued in GA

Practice address

10 S Brooks St
Ste. 4
Cleveland, GA 30528-1151

Phone

(800) 287-4802

Fax

(706) 348-1353

NPI assigned

Feb 5, 2013

Sex

Male

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 2

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": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1356680763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 FOX HUNTER LN",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305282372",
            "telephone_number": "800-287-4802",
            "fax_number": "706-348-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S BROOKS ST",
            "address_2": "STE. 4",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305281151",
            "telephone_number": "800-287-4802",
            "fax_number": "706-348-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "MARK",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "ED.D., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-05",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC001942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12496823",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003161579A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia Mountains Community Services
• Carla Michelle Gerrell, LPC
• Allison Jean Gilbert, OT
• Shana Graham
• Deborah Ann Graves, PT
• Tammy Griffin, RPH
• GS Eyecare Inc
• Crystal D Halligan, LPN
• Isaac Harris
• Braden Hays

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.