Individual provider Active NPI

Nashunda Carr, LPC

  • Professional Counselor
  • Milledgeville, GA
National Provider Identifier
1407007479
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004981 Issued in GA
Practice address
630 W Charlton St
Milledgeville, GA 31061-2303
Phone
(478) 445-3201
Fax
(445) 478-4963
NPI assigned
Oct 8, 2008
Last updated
Apr 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LPC004981 GA
Professional Counselor 101YP2500X LPC004981 GA Primary

Addresses

Primary practice location

630 W Charlton St
Milledgeville, GA 31061-2303

Mailing address

PO Box 382
Macon, GA 31202-0382
Phone (478) 787-3447

Other practice location 1

630 W Charlton St
Milledgeville, GA 31061-2303
Phone (478) 445-3201

Other identifiers 2

IdentifierTypeStateIssuer
LPC004981OtherGALPC
77671OtherTXLPC

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
LPC004981GAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Innovations, LLC Addiction (Substance Use Disorder) Current Accepting new patients
Positive Innovations, LLC Addiction (Substance Use Disorder) Current Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1407007479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312020382",
            "telephone_number": "478-787-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W CHARLTON ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612303",
            "telephone_number": "478-445-3201",
            "fax_number": "445-478-4963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 W Charlton St",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310612303",
            "country_code": "US",
            "telephone_number": "478-445-3201",
            "fax_number": "445-478-4963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "NASHUNDA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "LPC004981",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "LPC004981",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "77671",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.