Individual provider Active NPI

Caryn Elizabeth Vandergriff, LPC

  • Professional Counselor
  • Valdosta, GA
National Provider Identifier
1780431072
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
016928 Issued in GA
Practice address
111 Woodrow Wilson Dr Ste a
Valdosta, GA 31602-2583
Phone
(229) 539-1844
Fax
(229) 231-3101
NPI assigned
May 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 016928 GA Primary

Addresses

Primary practice location

111 Woodrow Wilson Dr Ste a
Valdosta, GA 31602-2583

Mailing address

3111 Wingfield Way
Valdosta, GA 31602-4040
Phone (229) 254-9539

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Point Therapeutic Services LLC CurrentSince May 7, 2024 Accepting new patients

Locations

111 Woodrow Wilson Dr
Ste A
Valdosta, GA 31602
Phone (229) 253-0105

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1780431072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 WINGFIELD WAY",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316024040",
            "telephone_number": "229-254-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WOODROW WILSON DR STE A",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022583",
            "telephone_number": "229-539-1844",
            "fax_number": "229-231-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERGRIFF",
        "first_name": "CARYN",
        "middle_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "016928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.