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Active NPI 1417656323 Individual Practitioner Female Practitioner

Ellen Super Thomas , LPC

Counselor - Professional • Mableton, GA

Professional Overview & Biography Verified Profile Summary

Ellen Thomas, LPC is a registered healthcare professional specializing in Counselor - Professional in Mableton, GA. Practice services are available at 783 CREEK GLEN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

783 Creek Glen Rd

Mableton, GA 301262797

Telephone 4048408234

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Mableton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
18 Specialists

Practicing in Mableton, GA (6655 Statewide)

Telehealth Adoption Rate
5.6% 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: 2023-02-28
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC011541

Definition to come...

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active February 28, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 28, 2023

Registered at 783 CREEK GLEN RD, MABLETON, GA 301262797 (Tel: 4048408234)

📍
Updated Business Mailing Address February 28, 2023

Registered at 783 CREEK GLEN RD, MABLETON, GA 301262797 (Tel: 4048408234)

👤
Provider Name / Credentials Updated February 28, 2023

Recorded as ELLEN THOMAS, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2023

Counselor (License #LPC011541 in GA)

🟢
Initial NPI Registration & Enumeration February 28, 2023

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: 1417656323
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2023
Last Update: February 28, 2023
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

783 Creek Glen Rd

Mableton, GA 301262797

Phone: 4048408234

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.