Active NPI
Celia C Caldwell, LPC
- Professional Counselor
- Marietta, GA
National Provider Identifier
1962637256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC003208
- Practice address
- 2111 Lower Roswell Rd
Marietta, GA 30068-3355 - Phone
- (678) 925-9832
- Fax
- (770) 345-3697
- NPI assigned
- May 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC003208 | GA | Primary |
Addresses
Primary practice location
2111 Lower Roswell Rd
Marietta, GA 30068-3355
Mailing address
4301 Sherry LN
Canton, GA 30114-8175
Phone (678) 925-9832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC003208 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242345600000",
"number": "1962637256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 SHERRY LN",
"city": "CANTON",
"state": "GA",
"postal_code": "301148175",
"telephone_number": "678-925-9832",
"fax_number": "770-345-3697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 LOWER ROSWELL RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300683355",
"telephone_number": "678-925-9832",
"fax_number": "770-345-3697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "CELIA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-15",
"last_updated": "2009-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC003208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.