Individual provider Active NPI

Emily Klynman, APC

  • Mental Health Counselor
  • Dalton, GA
National Provider Identifier
1366161713
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC007479 Issued in GA
Practice address
720 S Glenwood Ave
Dalton, GA 30721-3388
Phone
(706) 403-1688
NPI assigned
Aug 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APC007479 GA Primary

Addresses

Primary practice location

720 S Glenwood Ave
Dalton, GA 30721-3388

Mailing address

171 Middleton CT
Chatsworth, GA 30705
Phone (404) 538-8110

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260127001948 GA Practitioner - Mental Health Counselor 0143707604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Creative SolutionsGroup PAC ID 9133591712, 3 clinicians

Practice addresses (Care Compare)

517 Benjamin Way
Suite 400
Dalton, GA 30721-4659
Phone (762) 432-6759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APC007479GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Creative Solutions CurrentSince Dec 24, 2025 Accepting new patients

Locations

517 Benjamin Way
Ste 400
Dalton, GA 30721
Phone (706) 237-8303

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1366161713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MIDDLETON CT",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "30705",
            "telephone_number": "404-538-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S GLENWOOD AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307213388",
            "telephone_number": "706-403-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLYNMAN",
        "first_name": "EMILY",
        "credential": "APC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC007479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.