Community Care Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC009805 Issued in GA

Legal business name

COMMUNITY CARE COUNSELING, LLC

Practice address

5425 Sugarloaf Pkwy Ste 1101
Lawrenceville, GA 30043-5705

Phone

(770) 875-2595

NPI assigned

Oct 12, 2017

Organization subpart

No

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

Authorized official

Name

Chandra Dew, LPCNPI 1629588041

Title

Owner

Phone

(770) 875-2595

Specialties & licenses 1

Addresses

Other names 1

• Community Care Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chandra Dew, LPC

  • Professional Counselor
  • Lawrenceville, GA
  • NPI 1629588041
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1477064889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 SUGARLOAF PKWY STE 1101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435705",
            "telephone_number": "770-875-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 SUGARLOAF PKWY STE 1101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435705",
            "telephone_number": "770-875-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "DEW",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-875-2595",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacy Nichols Collins, M.S., NCC, LPC
• Daniel Colon-Conde, MD
• Manuel Angel Colon-Dejesus, M.D.
• Amy Colson, CNM
• Janae Ayodele Combs
• Community Family Practice and Urgent Care P C
• Complete Physical Therapy & Diagnostic Center, LLC
• Comprehensive Primary Care, LLC
• Madison Saren Compton, OTR/L
• Concentra Health Services, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.