Active NPI
Avadawn Lindsay, PHD, LPC, CPCS
- Professional Counselor
- Loganville, GA
National Provider Identifier
1689262412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC009466
- Practice address
- 2210 Gum Creek Church Rd
Loganville, GA 30052-4221 - Phone
- (678) 517-0271
- NPI assigned
- Jan 7, 2021
- Last updated
- Apr 10, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | GA | ||
| Professional Counselor | 101YP2500X | LPC009466 | GA | Primary |
Addresses
Primary practice location
2210 Gum Creek Church Rd
Loganville, GA 30052-4221
Mailing address
2210 Gum Creek Church Rd
Loganville, GA 30052-4221
Phone (678) 517-0271
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC009466 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618012800000",
"number": "1689262412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 GUM CREEK CHURCH RD",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300524221",
"telephone_number": "678-517-0271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 GUM CREEK CHURCH RD",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300524221",
"telephone_number": "678-517-0271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDSAY",
"first_name": "AVADAWN",
"credential": "PHD, LPC, CPCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-07",
"last_updated": "2021-04-10",
"certification_date": "2021-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC009466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loganville, GA
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- Ellen Lewis, APRN
- Tilina Lewis, CNA, PCT
- Life Enrichment and Wellness Services
- Jacqueline Lee Light, LDO
- Maria Renee Lindsey, SLP
- Lisa L. Gentry Speech, Inc.
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- Kimberly Harrell Littrell, APRN
- Local Dental Partners, LLC (Walton Center for Family Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.