Active NPI
Predita Howard, LPC
- Professional Counselor
- Macon, GA
National Provider Identifier
1598044349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC005115
- Practice address
- 3040 Riverside Dr
Ste D-5
Macon, GA 31210-2521 - Phone
- (678) 288-6550
- Fax
- (800) 609-0965
- NPI assigned
- Aug 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | LPC005115 | GA | Primary |
Addresses
Primary practice location
3040 Riverside Dr
Ste D-5
Macon, GA 31210-2521
Mailing address
3665 Club Dr
Ste 107
Duluth, GA 30096-1806
Phone (678) 288-6550
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 |
|---|---|---|---|
| LPC005115 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1598044349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3665 CLUB DR",
"address_2": "STE 107",
"city": "DULUTH",
"state": "GA",
"postal_code": "300961806",
"telephone_number": "678-288-6550",
"fax_number": "800-609-0965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3040 RIVERSIDE DR",
"address_2": "STE D-5",
"city": "MACON",
"state": "GA",
"postal_code": "312102521",
"telephone_number": "678-288-6550",
"fax_number": "800-609-0965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "PREDITA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-11",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.