Dana Vermelle Nowlin, PHD, LPC
Individual provider Active NPI Mental Health Counselor · Clarkston, GA
NPI 1851935902 · NPPES record last updated Nov 1, 2019
Key facts
- NPI
- 1851935902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LPC010119 (GA)
- Practice address
- 945 N Indian Creek Dr
Clarkston, GA 30021-2221 - Phone
- (404) 298-9005
- Fax
- (404) 298-0046
- NPI assigned
- Nov 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Mercer University School of Medicine, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4403 Cross LN
Decatur, GA 30035-2118
945 N Indian Creek Dr
Clarkston, GA 30021-2221
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260423000584 | GA | Practitioner - Mental Health Counselor | 1052888476 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC010119 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Growth Inc. | Current |
Accepting new patients |
Locations
945 N Indian Creek Dr
Clarkston, GA 30021
Phone (404) 298-9005
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC010119 | GA | Yes |
Addresses
Primary practice location
945 N Indian Creek Dr
Clarkston, GA 30021-2221
Mailing address
4403 Cross LN
Decatur, GA 30035-2118
Phone (404) 227-4603
Other providers in Clarkston, GA
- Nazir A. Mousselli
- Stephanie Rene Murray
- Jerome Ndikumukiza
- Yolanda Nesbitt
- Trung The Nguyen
- Nurture Home Care LLC
- Kareem Osborne
- Ojoru Osunkoya
- Sydney Otuata
- PCL Labs LLC
All providers in Clarkston, GA · Mental Health Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.