Active NPI
Karen Poynor, LPC, NCC
- Professional Counselor
- Tucker, GA
National Provider Identifier
1457523771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC004100
- Practice address
- 1479 Brockett Rd
Suite 101
Tucker, GA 30084-7326 - Phone
- (404) 625-5427
- Fax
- (404) 508-8944
- NPI assigned
- Mar 26, 2008
- Sex
- Female
- Sole proprietor
- No
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 | LPC004100 | GA | Primary |
Addresses
Primary practice location
1479 Brockett Rd
Suite 101
Tucker, GA 30084-7326
Mailing address
1479 Brockett Rd
Suite 101
Tucker, GA 30084-7326
Phone (404) 625-5427
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 |
|---|---|---|---|
| LPC004100 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renewed Journey Counseling Services LLC | Professional | Past | Accepting new patients |
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": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1457523771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1479 BROCKETT RD",
"address_2": "SUITE 101",
"city": "TUCKER",
"state": "GA",
"postal_code": "300847326",
"telephone_number": "404-625-5427",
"fax_number": "404-508-8944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1479 BROCKETT RD",
"address_2": "SUITE 101",
"city": "TUCKER",
"state": "GA",
"postal_code": "300847326",
"telephone_number": "404-625-5427",
"fax_number": "404-508-8944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POYNOR",
"first_name": "KAREN",
"name_prefix": "Ms.",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-26",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC004100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.