Individual provider Active NPI

Karen Elizabeth Dodge, MS, APC, NCC

  • Mental Health Counselor
  • Woodstock, GA
National Provider Identifier
1760219422
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC009704 Issued in GA
Practice address
3235 S Cherokee LN BLDG 1200
Woodstock, GA 30188-4461
Phone
(678) 384-4911
NPI assigned
Sep 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APC009704 GA Primary

Addresses

Primary practice location

3235 S Cherokee LN BLDG 1200
Woodstock, GA 30188-4461

Mailing address

3400 Old Milton Pkwy Ste C395
Alpharetta, GA 30005-3731
Phone (678) 384-4911

Other names 1

  • Karen Elizabeth Claypole Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
APC009704GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC PastSince Sep 23, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1760219422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY STE C395",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053731",
            "telephone_number": "678-384-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 S CHEROKEE LN BLDG 1200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884461",
            "telephone_number": "678-384-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "credential": "MS, APC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC009704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "CLAYPOLE",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.