Active NPI
Karen Elizabeth Dodge, MS, APC, NCC
- Mental Health Counselor
- Woodstock, GA
National Provider Identifier
1760219422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- APC009704
- 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
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 |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC009704 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Past | 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.
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.