Kristen Fraser, M.ED., LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC005635 Issued in GA

Practice address

310 Paper Trail Way
Suite 102
Canton, GA 30115-5203

Phone

(770) 351-6674

NPI assigned

Aug 31, 2011

Last updated

Nov 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

Practice roles

Locations

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.

• Canton Counseling, LLC

  • Professional Counselor
  • Canton, GA
  • NPI 1780014720
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1922389279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 PAPER TRAIL WAY",
            "address_2": "SUITE 102",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301155203",
            "telephone_number": "770-351-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 PAPER TRAIL WAY",
            "address_2": "SUITE 102",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301155203",
            "telephone_number": "770-351-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "M.ED., LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billy Fowler
• Lane Andrew Fowler, MD
• Donna Fox
• Anthony Franco, DPT
• Michael Everett Franklin, PA-C
• Ashley Frazier, MT-BC
• Samantha F Frederick, NP-C
• Freedom to Blossom (Kayla Farabaugh, LCSW)
• Mary Teresa Freeman-Walters, MS, MAC, LPC, CPCS
• Jennifer Meriam Freeman

• Professional Counselor in Canton, GA
• Providers in Canton, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.