Individual provider Active NPI

Courtney Joanna Chandler, LPC

  • Professional Counselor
  • Lagrange, GA
National Provider Identifier
1871042739
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC011067 Issued in GA
Practice address
200 N Lewis St
Lagrange, GA 30240-2738
Phone
(706) 887-5787
Fax
(706) 780-5402
NPI assigned
Oct 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APC005351 GA
Professional Counselor 101YP2500X LPC011067 GA Primary

Addresses

Primary practice location

200 N Lewis St
Lagrange, GA 30240-2738

Mailing address

200 N Lewis St
Lagrange, GA 30240-2738
Phone (706) 887-5787

Other identifiers 1

IdentifierTypeStateIssuer
003223339AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APC005351GAMDMental Health Counselor
LPC011067GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Tomorrows Behavioral Health Services Professional PastSince Nov 24, 2019 Accepting new patients
Brighter Tomorrows Consulting, LLC Professional Past Accepting new patients

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": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1871042739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N LEWIS ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402738",
            "telephone_number": "706-887-5787",
            "fax_number": "706-780-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N LEWIS ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402738",
            "telephone_number": "706-887-5787",
            "fax_number": "706-780-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "COURTNEY",
        "middle_name": "JOANNA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC005351",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003223339A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.