Active NPI
Walter Thomas Chavers Jr., LPC, NCC
- Professional Counselor
- Smyrna, GA
National Provider Identifier
1740437581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC005687
- Practice address
- 4015 S Cobb Dr SE Ste 10
Smyrna, GA 30080-6315 - Phone
- (678) 481-0978
- NPI assigned
- Aug 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | LPC005687 | GA | Primary |
Addresses
Primary practice location
4015 S Cobb Dr SE Ste 10
Smyrna, GA 30080-6315
Mailing address
2333 Brackett St SW
Marietta, GA 30060-4611
Phone (678) 481-0978
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 |
|---|---|---|---|
| LPC005687 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251763200000",
"number": "1740437581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2333 BRACKETT ST SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300604611",
"telephone_number": "678-481-0978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 S COBB DR SE STE 10",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806315",
"telephone_number": "678-481-0978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVERS",
"first_name": "WALTER",
"middle_name": "THOMAS",
"name_suffix": "Jr.",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-23",
"last_updated": "2009-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.