Individual provider Active NPI

Constance Cromartie, LPC

  • Professional Counselor
  • Johns Creek, GA
National Provider Identifier
1982972246
Registry record updated Feb 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC007143 Issued in GA
Practice address
11950 Jones Bridge Rd
Suite 115-129
Johns Creek, GA 30005-8911
Phone
(434) 284-2691
NPI assigned
Dec 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701005128 VA
Professional Counselor 101YP2500X LPC007143 GA Primary

Addresses

Primary practice location

11950 Jones Bridge Rd
Suite 115-129
Johns Creek, GA 30005-8911

Mailing address

11950 Jones Bridge Rd
Suite 115-129
Johns Creek, GA 30005-8911
Phone (434) 284-2691

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
I20240611002849 GA Practitioner - Mental Health Counselor 1254873862 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701005128VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
View Point Health CurrentSince May 29, 2024 Accepting new patients

Locations

175 Gwinnett Dr
Lawrenceville, GA 30046
Phone (678) 209-2394

5030 Georgia Belle Ct
Norcross, GA 30093
Phone (770) 638-5700

5030 Georgia Belle Ct
Ste 2036
Norcross, GA 30093
Phone (678) 209-2745

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": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360368000000",
    "number": "1982972246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11950 JONES BRIDGE RD",
            "address_2": "SUITE 115-129",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300058911",
            "telephone_number": "434-284-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11950 JONES BRIDGE RD",
            "address_2": "SUITE 115-129",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300058911",
            "telephone_number": "434-284-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROMARTIE",
        "first_name": "CONSTANCE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2013-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005128",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.