Individual provider Active NPI

Elizabeth Natalie Valera, LPC

  • Professional Counselor
  • Decatur, GA
National Provider Identifier
1811495963
Registry record updated Nov 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
009912 Issued in GA
Practice address
1924 Clairmont Rd Ste 105
Decatur, GA 30033-3438
Phone
(678) 907-3106
NPI assigned
Jan 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2023

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 009912 GA Primary

Addresses

Primary practice location

1924 Clairmont Rd Ste 105
Decatur, GA 30033-3438

Mailing address

3201 Oakbrook LN
Clarkston, GA 30021-1004
Phone (678) 907-3106

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231206003236 GA Practitioner - Mental Health Counselor 8325497027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1510 Oak Grove Rd
Suite 3
Decatur, GA 30033-1724
Phone (678) 907-3106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009912GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Lifespan Counseling of Atlanta, LLC CurrentSince Nov 25, 2023 Accepting new patients

Locations

1924 Clairmont Rd
Ste 105
Decatur, GA 30033
Phone (404) 863-5009

1510 Oak Grove Rd
Ste 3
Decatur, GA 30033
Phone (470) 835-3350

Interoperability endpoints

  • Direct secure messaging: elizabethvalera@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700870400000",
    "number": "1811495963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 OAKBROOK LN",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300211004",
            "telephone_number": "678-907-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 CLAIRMONT RD STE 105",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333438",
            "telephone_number": "678-907-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERA",
        "first_name": "ELIZABETH",
        "middle_name": "NATALIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2023-11-25",
        "certification_date": "2023-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "009912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.