Avery Mitchell, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007152 Issued in GA

Practice address

2001 Martin Luther King Jr Dr SW Ste 410C
Atlanta, GA 30310-5806

Phone

(678) 316-6997

NPI assigned

Jul 5, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Comprehensive Services LLCGroup PAC ID 7719329820, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Premier Comprehensive Services, LLC

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1598373656

  Professional

  Medicare reassignment Care Compare group NPD Authorized official
• Premier Comprehensive Services LLC

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1003247628
  NPD Authorized official

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1760822746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 EAGLES VALLEY CIR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300383552",
            "telephone_number": "678-316-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARTIN LUTHER KING JR DR SW STE 410C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303105806",
            "telephone_number": "678-316-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "AVERY",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-05",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aisha Mitchell, D.C.
• Alexandra Mitchell
• Alexis Denice Mitchell, CRNP
• Alicia Kaye Mitchell, M.S., BCBA
• Antjuan D Mitchell, DC
• Bianca Mitchell, APRN
• Bruce Leroy Mitchell, M.D.
• Catherine Mitchell, MSN, RN, CPNP
• Cydnie Mitchell
• Dana S Mitchell, PT

• Professional Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.