Individual provider Active NPI

Chandra Dew, LPC

  • Professional Counselor
  • Lawrenceville, GA
National Provider Identifier
1629588041
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC009805 Issued in GA
Practice address
5435 Sugarloaf Pkwy Ste 2201
Lawrenceville, GA 30043-5763
Phone
(770) 875-2595
NPI assigned
Oct 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC009805 GA Primary

Addresses

Primary practice location

5435 Sugarloaf Pkwy Ste 2201
Lawrenceville, GA 30043-5763

Mailing address

5425 Sugarloaf Pkwy Ste 1101
Lawrenceville, GA 30043-5705
Phone (770) 875-2595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122000479 GA Practitioner - Mental Health Counselor 8224480645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5425 Sugarloaf Pkwy
Suite 1101
Lawrenceville, GA 30043-5705
Phone (770) 875-2595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC009805GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Counseling, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

5425 Sugarloaf Pkwy
Ste 1101
Lawrenceville, GA 30043
Phone (678) 325-2350

5435 Sugarloaf Pkwy
Ste 2201
Lawrenceville, GA 30043
Phone (770) 875-2595

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1629588041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 SUGARLOAF PKWY STE 1101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435705",
            "telephone_number": "770-875-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 SUGARLOAF PKWY STE 2201",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435763",
            "telephone_number": "770-875-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEW",
        "first_name": "CHANDRA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.