Active NPI
Charmain Teelucksingh
- Professional Counselor
- Marietta, GA
National Provider Identifier
1649925231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC012716
- Practice address
- 1640 Powers Ferry Rd SE
BLDG 11 Suite 200
Marietta, GA 30067 - Phone
- (404) 477-4343
- NPI assigned
- Feb 13, 2022
- Last updated
- May 20, 2025
- Sex
- Female
- Sole proprietor
- No
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 | LPC012716 | GA | Primary |
Addresses
Primary practice location
1640 Powers Ferry Rd SE
BLDG 11 Suite 200
Marietta, GA 30067
Mailing address
1640 Powers Ferry Rd SE
BLDG 11 Suite 200
Marietta, GA 30067
Phone (404) 477-4343
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 |
|---|---|---|---|
| LPC012716 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1649925231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 POWERS FERRY RD SE",
"address_2": "BLDG 11 SUITE 200",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30067",
"telephone_number": "404-477-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 POWERS FERRY RD SE",
"address_2": "BLDG 11 SUITE 200",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30067",
"telephone_number": "404-477-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEELUCKSINGH",
"first_name": "CHARMAIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-13",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC012716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.