Carla Sue Anderson, MA, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

002385 Issued in GA

Practice address

1778 Century Blvd NE
Suite a
Atlanta, GA 30345-3398

Phone

(404) 570-3764

NPI assigned

Feb 12, 2007

Last updated

May 20, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1881736304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 QUAIL RUN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763180",
            "telephone_number": "404-570-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1778 CENTURY BLVD NE",
            "address_2": "SUITE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453398",
            "telephone_number": "404-570-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CARLA",
        "middle_name": "SUE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "002385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Anderson, AGACNP
• Brett Garrett Anderson, MS, ED.S, LPC
• Brittany Young Anderson, M.D.
• Caitlin Roberson Anderson, MD, MPH
• Carla D Anderson, O.D.
• Catrecha Anderson, PA
• Curtiss Anderson, O.D.
• Danielle Anderson, DOULA
• Daria Anderson
• Darla Jean Anderson, LMT, CNMT

• Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.