Active NPI
Karlyn R Edgar, LPC
- Professional Counselor
- Marietta, GA
National Provider Identifier
1407586233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC007884
- Practice address
- 1645 Sonya Dr
Marietta, GA 30066-5756 - Phone
- (770) 686-6162
- NPI assigned
- Jun 14, 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 | LPC007884 | GA | Primary |
Addresses
Primary practice location
1645 Sonya Dr
Marietta, GA 30066-5756
Mailing address
1645 Sonya Dr
Marietta, GA 30066-5756
Phone (770) 686-6162
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Karlyn.edgar@gmail.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC007884 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1407586233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1645 SONYA DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300665756",
"telephone_number": "770-686-6162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 SONYA DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300665756",
"telephone_number": "770-686-6162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGAR",
"first_name": "KARLYN",
"middle_name": "R",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-14",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC007884",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Karlyn.edgar@gmail.com",
"affiliation": "N",
"address_1": "1645 Sonya Dr",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300665756",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.