NPIMap

Organization Active NPI

Phyllis Carrera

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1952797219
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC006957 Issued in GA
Legal business name
PHYLLIS CARRERA
Practice address
1788 Century Blvd NE Ste B
Atlanta, GA 30345-3321
Phone
(678) 360-6018
NPI assigned
Apr 13, 2015
Last updated
Apr 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Phyllis Ann Carrera, LPCNPI 1154673259
Title
Licenced Professional Counselor
Phone
(678) 360-6018

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC006957 GA Primary

Addresses

Primary practice location

1788 Century Blvd NE Ste B
Atlanta, GA 30345-3321

Mailing address

1101 Collier Rd NW
L-5
Atlanta, GA 30318-8231
Phone (678) 360-6018

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1952797219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 COLLIER RD NW",
            "address_2": "L-5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303188231",
            "telephone_number": "678-360-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 CENTURY BLVD NE STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453321",
            "telephone_number": "678-360-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS CARRERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "CARRERA",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICENCED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "678-360-6018",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.