Teresa Anderson, ED.D, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC009315 Issued in GA

Practice address

1414 Steam Engine Way NE
Conyers, GA 30013-1594

Phone

(770) 262-3263

NPI assigned

Sep 23, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tma Counseling and Coaching Services, LLC

  • Professional Counselor
  • Conyers, GA
  • NPI 1548876774

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1831648468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 STEAM ENGINE WAY NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131594",
            "telephone_number": "470-535-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 STEAM ENGINE WAY NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131594",
            "telephone_number": "770-262-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TERESA",
        "credential": "ED.D, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC003459",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Anderson, PHARMD
• Kayla Ashley Anderson
• Kimberly Anderson, NP
• Neiko Denairo Anderson
• Shelley Anderson, PA-C
• Andrew S. Harper, M.D.,Inc.
• Annette Andrews
• Noreen H. Andrews, M.D.
• Robert Timothy Andrews, RRT NPS
• Blessing Ngozi Aneke, MD

• All providers in Conyers, GA
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.