Discovery Counseling and Assessment Center, LLC
Organization Active NPI Professional Counselor · Sharpsburg, GA
NPI 1629439617 · NPPES record last updated Mar 20, 2025
Key facts
- NPI
- 1629439617
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- DISCOVERY COUNSELING AND ASSESSMENT CENTER, LLC
- Practice address
- 4006 Highway 34 E
Sharpsburg, GA 30277-3531 - Phone
- (404) 960-1282
- Fax
- (855) 817-2428
- NPI assigned
- Mar 17, 2016
- Organization subpart
- No
Authorized official
- Name
- Bruce N Grant, PSYD
- Title
- Licensed Psychologist
- Phone
- (770) 710-2173
Practitioners 64
-
Jennifer Day, LCSW
-
Alexander Louis Divergilio, M.ED, NCC
-
Martha Lynne Earley, LPC
-
Julie Renee Evans, LPC
-
Bruce N Grant, PSYD
-
Kristen Hanna, LMSW
-
Linda Guillard Pugh, PHD
-
Mary Ann Sheppard, LPC
-
Jessica Thompson, LCSW
-
Lydia Threatt, APC
-
Elsa Vicente, LPC
-
Charlotte Hurt, LCSW
-
Ansley Joy Bannister, LMSW
-
Sarah Jane Booth, LPC
-
Elizabeth Cavender, APC
-
Sherri Christopher, LMFT
-
Shianna Cruz, LAPC
-
Terilynn Culverhouse, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160422002120 | GA | Part B Supplier - Clinic/Group Practice | 5092014175 |
Receives reassigned benefits from 38 practitioners Practice locations: Sharpsburg, GA; Zebulon, GA |
National Provider Directory
Locations
145 Howard Ln
Fayetteville, GA 30215
Phone (404) 960-0328
20 Oak Hill Blvd
Ste 300
Newnan, GA 30265
Phone (404) 844-8632
135 Governors Sq
Ste C
Peachtree City, GA 30269
Phone (404) 940-4960
4006 Highway 34 E
Sharpsburg, GA 30277
Phone (404) 844-6868
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | Yes | ||
| Psychologist |
103T00000X | |||
| Clinical Social Worker |
1041C0700X | |||
| Marriage & Family Therapist |
106H00000X |
Addresses
Primary practice location
4006 Highway 34 E
Sharpsburg, GA 30277-3531
Mailing address
4006 Highway 34 E
Sharpsburg, GA 30277-3531
Phone (404) 960-1282
Other practice location 1
420 Thomaston St
Zebulon, GA 30295-3387
Phone (770) 710-2173
Other practice location 2
1520 22nd St
Columbus, GA 31901-1632
Phone (706) 905-2162
Other practice location 3
135 Governors Sq Ste C
Peachtree City, GA 30269-4860
Phone (404) 960-0749
Other practice location 4
145 Howard Ln
Fayetteville, GA 30215-1848
Phone (404) 960-0328
Other practice location 5
20 Oak Hill Blvd Ste 300
Newnan, GA 30265-2667
Phone (404) 844-8632
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003139432A | Medicaid | GA |
Other providers in Sharpsburg, GA
- Marsha-Gail Davis
- Jennifer Day
- Eliakim Isiah Pallasigue Deguzman
- Candice Dela Cruz
- Nichole Marie Dinwiddie
- Tara Donovan
- Ashley Janae Douglass
- Sara Oliver Dupree
- Debra Dwight
- Mable Earl
All providers in Sharpsburg, 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 Mar 20, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.