ETHEL LONDON LPC
NPI 1295196186
Counselor - Professional in Tucker, GA

Active since March 19, 2016PECOS Enrolled
2227 IDLEWOOD RD, SUITE 2, TUCKER, GA 30084(678) 922-2834 Get Directions Write a Review

NPPES record last updated: March 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethel London Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHEL LONDON LPC (NPI 1295196186) is an individual professional provider in Tucker, Georgia, licensed in Georgia (LPC008319) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295196186
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameETHEL LONDONCredential: LPC
Location Address2227 IDLEWOOD RD, SUITE 2Tucker, GA 30084-4827
Mailing AddressPo Box 490112Lawrenceville, GA 30049-0002 · (404) 285-8122
Sole ProprietorYes
Enumeration DateMarch 19, 2016
NPI 1295196186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC008319
2227 IDLEWOOD RD, Tucker, GA 30084

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ethel London Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
2227 IDLEWOOD RD, SUITE 1
TUCKER, GA 30084
Chiropractor (Neurology)
2227 IDLEWOOD RD, SUITE 200
TUCKER, GA 30084
Specialist/Technologist, Other (Electroneurodiagnostic)
2227 IDLEWOOD RD, SUITE 400
TUCKER, GA 30084
Internal Medicine
2227 IDLEWOOD RD
TUCKER, GA 30084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethel London's NPI number?

The NPI number for Ethel London is 1295196186. It was assigned to this individual provider in the NPPES registry on March 19, 2016.

Where is Ethel London located?

Ethel London practices at 2227 Idlewood Rd Suite 2, Tucker, GA 30084. The listed phone number is (678) 922-2834.

What is Ethel London's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Ethel London enrolled in Medicare?

Yes. Ethel London is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethel London was last updated on March 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.