Wendy Jean Mason, LPC
Individual provider Active NPI Professional Counselor · Soperton, GA
NPI 1609050145 · NPPES record last updated Dec 19, 2007
Key facts
- NPI
- 1609050145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC003624 (GA)
- Practice address
- RR 3 Box 227a
Soperton, GA 30457-9344 - Phone
- (478) 595-2675
- NPI assigned
- Dec 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher Dennis MD PLLC | Current |
Accepting new patients |
Locations
1420 Milstead Rd NE
Conyers, GA 30012
Phone (770) 483-3902
11340 Lakefield Dr
Ste 200
Johns Creek, GA 30097
Phone (678) 407-2159
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC003624 | GA | Yes |
Addresses
Primary practice location
RR 3 Box 227a
Soperton, GA 30457-9344
Mailing address
RT 3 Box 227a
Soperton, GA 30457
Phone (478) 595-2675
Other providers in Soperton, GA
- Kristen Nicole Helton
- Higgs Ambulance Service Inc
- Kathryn Lassiter
- Seth Love
- Laura K Lynd
- Kaya Iman Matthews
- Medixx Transport, LLC
- David Lavon Moore
- Tamiko Owens
- John Louis Pournelle Jr.
All providers in Soperton, GA · Professional Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.