Active NPI 1104230184 Individual Practitioner Female Practitioner

Brandy Kaye Nicholson , LPC

Counselor - Professional • Acworth, GA

Professional Overview & Biography Verified Profile Summary

Brandy Nicholson, LPC is a registered healthcare professional specializing in Counselor - Professional in Acworth, GA. Practice services are available at 4989 N MAIN ST STE 106 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4989 N Main St Ste 106

Acworth, GA 301015278

Telephone 4707452775

Fax 4707452777

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Acworth, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.0 Yrs

State Avg: 15.6 Yrs

Regional Practice Density

41 Specialists

Practicing in Acworth, GA (6655 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-04-11

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC010754

Definition to come...

Counselor - School

NUCC Taxonomy Code: 101YS0200X

State License GA APC005357

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1104230184 (GA)

Secondary Practice Locations

116 Hamilton Crossing Rd Nw

Cartersville, GA 301204884

Phone: 7705489078

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

21 Historical Events

📍

Updated Practice Location April 11, 2022

Registered at 4989 N MAIN ST STE 106, ACWORTH, GA 301015278 (Tel: 4707452775)

📍

Updated Business Mailing Address April 11, 2022

Registered at 4989 N MAIN ST STE 106, ACWORTH, GA 301015278 (Tel: 4707452775)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2022

Counselor (License #APC005357 in GA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2020

Counselor (License #LPC010754 in GA)

📍

Updated Practice Location January 12, 2019

Registered at 4989 N MAIN ST STE 102, ACWORTH, GA 301015278 (Tel: 4707452775)

📍

Updated Business Mailing Address January 12, 2019

Registered at 4989 N MAIN ST STE 102, ACWORTH, GA 301015278 (Tel: 4707452775)

👤

Provider Name / Credentials Updated January 12, 2019

Recorded as BRANDY NICHOLSON, LPC

📍

Updated Practice Location October 08, 2018

Registered at 116 HAMILTON CROSSING RD NW, CARTERSVILLE, GA 301204884 (Tel: 7705489078)

📍

Updated Business Mailing Address October 08, 2018

Registered at 190 STATE ROUTE 20 SPUR SE, CARTERSVILLE, GA 301218116 (Tel: 7705489078)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2018

Counselor (License #APC005357 in GA)

✅

NPI Profile Active April 27, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 27, 2017

Registered at 650 HENDERSON DR, SUITE 202, CARTERSVILLE, GA 301203744 (Tel: 7703342493)

📍

Updated Business Mailing Address April 27, 2017

Registered at 650 HENDERSON DR, SUITE 202, CARTERSVILLE, GA 301203744 (Tel: 7703342493)

👤

Provider Name / Credentials Updated April 27, 2017

Recorded as BRANDY NICHOLSON, APC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2017

Counselor

✅

NPI Profile Active June 17, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 17, 2014

Registered at 1830 WATER PL SE STE 200, ATLANTA, GA 303392042 (Tel: 7709169031)

📍

Updated Business Mailing Address June 17, 2014

Registered at 1830 WATER PL SE STE 200, ATLANTA, GA 303392042 (Tel: 7709169031)

👤

Provider Name / Credentials Updated June 17, 2014

Recorded as BRANDY NICHOLSON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2014

Counselor

🟢

Initial NPI Registration & Enumeration June 17, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104230184

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 17, 2014

Last Update: April 11, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4989 N Main St Ste 106

Acworth, GA 301015278

Phone: 4707452775

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.