Taber Carlson, MA, LPC, NCC
Counselor, Professional in Watkinsville, GA. Individual provider (NPI-1).
NPI number1386298628
StatusActive
Last updated in NPPESSep 6, 2023
Details
- NPI
- 1386298628
- Entity type
- Individual (NPI-1)
- Name
- Taber Carlson
- Credential
- MA, LPC, NCC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 25, 2019
- Certification date
- Sep 6, 2023
- Last updated
- Sep 6, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC04543 | AL | Yes |
| 101Y00000X | Counselor | C3340A | AL |
Practice location
1010 Crabapple CirWatkinsville, GA 30677-4123
Phone 605-641-7328
Mailing address
Po Box 425Watkinsville, GA 30677-0011
Phone 605-641-7328
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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