Individual provider Active NPI

Carolyn Sylvester Metheny, M.ED.,LPC,NCC,MAC,

  • Professional Counselor
  • Evans, GA
National Provider Identifier
1942557533
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
006687 Issued in GA
Practice address
801 Sparkleberry Road
Evans, GA 30809
Phone
(706) 993-3175
NPI assigned
Aug 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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 305074 GA
Professional Counselor 101YP2500X 006687 GA Primary

Addresses

Primary practice location

801 Sparkleberry Road
Evans, GA 30809

Mailing address

801 Sparkleberry Road
Evans, GA 30809
Phone (706) 993-3175

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
I20240213003866 GA Practitioner - Mental Health Counselor 8426491812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Encounters Counseling ServicesGroup PAC ID 4981047370, 2 clinicians

Practice addresses (Care Compare)

2826 Hillcreek Dr
Augusta, GA 30909-5628
Phone (706) 210-2767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
305074GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Encounters Counseling Services Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

2826 Hillcreek Dr
Augusta, GA 30909
Phone (706) 210-2767

Organizations & group practices 1

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": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1942557533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SPARKLEBERRY ROAD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "30809",
            "telephone_number": "706-993-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SPARKLEBERRY ROAD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "30809",
            "telephone_number": "706-993-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METHENY",
        "first_name": "CAROLYN",
        "middle_name": "SYLVESTER",
        "name_prefix": "Mrs.",
        "credential": "M.ED.,LPC,NCC,MAC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "305074",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "006687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.