Individual provider Active NPI

Elizabeth Cavender, APC

  • Professional Counselor
  • Valdosta, GA
National Provider Identifier
1851021406
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APC008236 Issued in GA
Practice address
1301 Melody LN Ste B
Valdosta, GA 31601-0046
Phone
(770) 687-0696
NPI assigned
Jun 15, 2022
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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 APC008236 GA Primary

Addresses

Primary practice location

1301 Melody LN Ste B
Valdosta, GA 31601-0046

Mailing address

1301 Melody LN Ste B
Valdosta, GA 31601-0046
Phone (770) 687-0696

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
I20240524002674 GA Practitioner - Mental Health Counselor 4880036623 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APC008236GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Counseling and Assessment Center, LLC Professional CurrentSince May 14, 2024 Accepting new patients

Locations

4006 Highway 34 E
Sharpsburg, GA 30277
Phone (404) 844-6868

420 Thomaston St
Zebulon, GA 30295
Phone (404) 960-1282

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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1851021406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MELODY LN STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316010046",
            "telephone_number": "770-687-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MELODY LN STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316010046",
            "telephone_number": "770-687-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVENDER",
        "first_name": "ELIZABETH",
        "credential": "APC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC008236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.