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MRS. CAROLYN KENNEDY ANDERSON LPC
NPI 1417279316
Counselor - Professional in Stone Mountain, GA

Active since February 18, 2010PECOS Enrolled
6188 SWABIA CT, STONE MOUNTAIN, GA 30087(470) 385-8777 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Carolyn Kennedy Anderson Lpc NPPES

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

MRS. CAROLYN KENNEDY ANDERSON LPC (NPI 1417279316) is an individual professional provider in Stone Mountain, Georgia, licensed in Georgia (LPC010164) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417279316
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. CAROLYN KENNEDY ANDERSONCredential: LPC
Location Address6188 SWABIA CTStone Mountain, GA 30087-4987
Mailing Address6188 Swabia CtStone Mountain, GA 30087-4987 · (470) 385-8777
Phone(470) 385-8777
Sole ProprietorYes
Enumeration DateFebruary 18, 2010
Last NPPES UpdateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
✔ NPI 1417279316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in GA · LPC010164✔ Licensed in CA · LPCC17939✔ Licensed in MI · 6401004002✔ Licensed in OR · C9773
Also ListedCounselorTaxonomy 101Y00000X · License CPCS4359 (GA)
6188 SWABIA CT, Stone Mountain, GA 30087
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Oscar Insurance Company, Priority Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Carolyn Kennedy Anderson 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.

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 Carolyn Anderson's NPI number?

The NPI number for Carolyn Anderson is 1417279316. It was assigned to this individual provider in the NPPES registry on February 18, 2010.

Where is Carolyn Anderson located?

Carolyn Anderson practices at 6188 Swabia Ct, Stone Mountain, GA 30087. The listed phone number is (470) 385-8777.

What is Carolyn Anderson's specialty?

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

Is Carolyn Anderson enrolled in Medicare?

Yes. Carolyn Anderson is registered in the Medicare PECOS enrollment system.

What insurance does Carolyn Anderson accept?

Health plans from BridgeSpan Health Company, Oscar Insurance Company, Priority Health, Providence Health Plan and Regence BlueCross BlueShield of Oregon and 1 other insurer list Carolyn Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carolyn Anderson was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.