Individual provider Active NPI

Erika Malaisha Sledge, LPC

  • Professional Counselor
  • Port Wentworth, GA
National Provider Identifier
1508372301
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC009963 Issued in GA
Practice address
14 Dogwood Cir
Port Wentworth, GA 31407-3333
Phone
(912) 223-6032
NPI assigned
Dec 17, 2017
Last updated
Apr 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC009963 GA Primary

Addresses

Primary practice location

14 Dogwood Cir
Port Wentworth, GA 31407-3333

Mailing address

14 Dogwood Cir
Port Wentworth, GA 31407-3333
Phone (912) 223-6032

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
I20240207004016 GA Practitioner - Mental Health Counselor 6507252095 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC009963GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Cartwheel Health Services PC Professional Past Accepting new patients

Locations

8800 Roswell Rd
Ste A135
Sandy Springs, GA 30350
Phone (617) 395-5806

1800 Lake Park Dr SE
Ste 123
Smyrna, GA 30080
Phone (404) 720-9800

Interoperability endpoints

  • Direct secure messaging: erikasledge@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1513468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1508372301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DOGWOOD CIR",
            "city": "PORT WENTWORTH",
            "state": "GA",
            "postal_code": "314073333",
            "telephone_number": "912-223-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DOGWOOD CIR",
            "city": "PORT WENTWORTH",
            "state": "GA",
            "postal_code": "314073333",
            "telephone_number": "912-223-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEDGE",
        "first_name": "ERIKA",
        "middle_name": "MALAISHA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-17",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Wentworth, GA

Sources for this page

Verify at the official NPI Registry.