Lydia Threatt, APC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

APC006571 Issued in GA

Practice address

1710 Highway 16 W
Griffin, GA 30223-7107

Phone

(770) 229-3407

Fax

(770) 229-3465

NPI assigned

Sep 13, 2018

Sex

Female

Sole proprietor

Yes

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Discovery Counseling and Assessment Center, LLCGroup PAC ID 5092014175, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Discovery Counseling and Assessment Center, LLC

  • Professional Counselor
  • Sharpsburg, GA
  • NPI 1629439617
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1982187118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 HIGHWAY 16 W",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302237107",
            "telephone_number": "770-229-3407",
            "fax_number": "770-229-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HIGHWAY 16 W",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302237107",
            "telephone_number": "770-229-3407",
            "fax_number": "770-229-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THREATT",
        "first_name": "LYDIA",
        "name_prefix": "Ms.",
        "credential": "APC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "APC006571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andriea Thompson
• Vivienne Thompson
• Kristen Thomson, CPNP-PC
• Anitra Thornton, RN
• Rebecca A Thrasher, FNP-C
• Havila Tiyyagura
• Total Control Behavioral Health
• Total Sleep Diagnostics, Inc.
• Touch of Healing Counseling Services LLC
• Stacy Toumbleston Jr., PHARMD

• Counselor in Griffin, GA
• Providers in Griffin, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.