Charles J. Popov, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC006004 Issued in GA

Practice address

145 Governors SQ Ste a
Peachtree City, GA 30269-4861

Phone

(770) 668-3130

NPI assigned

Dec 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Resiliency Behavioral Health Services LLC

  • Professional Counselor
  • Fayetteville, GA
  • NPI 1689139362
  NPD (past) Authorized official

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1518261908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 302",
            "city": "TURIN",
            "state": "GA",
            "postal_code": "302890302",
            "telephone_number": "770-668-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 GOVERNORS SQ STE A",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694861",
            "telephone_number": "770-668-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOV",
        "first_name": "CHARLES",
        "middle_name": "J.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-29",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003014588",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Kay Pollock, MA, LPC
• Alesia Ponder
• Lamura Alyn Poore, MS, RDN, LD
• Lindsay B Pope, D.M.D.
• Michael C Pope, D.M.D.
• Sini Poulose, FNP-C
• Donald L Pratt
• Christina Preyor, LPC, BC-TMH
• Primolink, Inc
• Priority Homecare LLC

• Professional Counselor in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.