Charles Benjamin Allen, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

002907 Issued in GA

Practice address

402 Adamson SQ Ste No8
Carrollton, GA 30117-3252

Phone

(678) 654-7389

NPI assigned

May 23, 2022

Last updated

May 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1548908205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BROOKSHIRE DR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301176534",
            "telephone_number": "678-654-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 ADAMSON SQ STE NO8",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173252",
            "telephone_number": "678-654-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "CHARLES",
        "middle_name": "BENJAMIN",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "002907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn M Aldridge, CRNA
• Julia Lucille Aldridge
• Alexander Meski MD PC
• Amber B Allen, NP
• April Allen, FNP-C
• Tenecia Latonya Allen
• William Keith Allison, CPS
• Dawn M Allred, LPC
• Lindsay Nichole Allred, PMHNP
• Lorien T Altadonna, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.