Individual provider Active NPI

Lydia Johnson

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1932501939
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC007987 Issued in GA
Practice address
1050 Crown Pointe Pkwy Ste 500
Atlanta, GA 30338-7702
Phone
(678) 723-3864
Fax
(404) 393-2506
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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 LPC007987 GA Primary

Addresses

Primary practice location

1050 Crown Pointe Pkwy Ste 500
Atlanta, GA 30338-7702

Mailing address

1050 Crown Pointe Pkwy Ste 500
Atlanta, GA 30338-7702
Phone (678) 723-3864

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
I20260128001776 GA Practitioner - Mental Health Counselor 1951889385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Consultants of Georgia, IncGroup PAC ID 2264539618, 13 clinicians

Practice addresses (Care Compare)

304 5TH Ave
Decatur, GA 30030-4812
Phone (404) 373-6231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC007987GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Southeast, LLC CurrentSince Jan 1, 2026 Accepting new patients
Inpatient Consultants of Georgia, Inc CurrentSince Jan 1, 2026 Accepting new patients

Locations

304 5th Ave
Decatur, GA 30030
Phone (404) 373-6231

2403 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (423) 979-5805

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

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": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1932501939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CROWN POINTE PKWY STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303387702",
            "telephone_number": "678-723-3864",
            "fax_number": "404-393-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CROWN POINTE PKWY STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303387702",
            "telephone_number": "678-723-3864",
            "fax_number": "404-393-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LYDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.