MS. MARY ELIZABETH PEDERSON LPC, M.ED., ED.S.
NPI 1689995011
Counselor - Professional in Lawrenceville, GA

Q: What is Mary Pederson's NPI number?

The NPI number for Mary Pederson is 1689995011. It was assigned to this individual provider in the NPPES registry on June 21, 2010.

Q: What is Mary Pederson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Pederson was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 21, 2010

2775 CRUSE RD STE 1601, LAWRENCEVILLE, GA 30044(678) 620-3204(770) 559-4232 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2019, Jan 23, 2019 (2 updates tracked since 2019).

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About Ms. Mary Elizabeth Pederson Lpc, M.ed., Ed.s. NPPES

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

MS. MARY ELIZABETH PEDERSON LPC, M.ED., ED.S. (NPI 1689995011) is an individual professional provider in Lawrenceville, Georgia, licensed in Georgia (LPC004631) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1689995011

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. MARY ELIZABETH PEDERSONCredential: LPC, M.ED., ED.S.

Location Address2775 CRUSE RD STE 1601Lawrenceville, GA 30044-7145

Mailing Address2775 Cruse Rd Ste 1601Lawrenceville, GA 30044-7145 · (678) 620-3204 · Fax (770) 559-4232

Phone(678) 620-3204

Fax(770) 559-4232

Sole ProprietorYes

Enumeration DateJune 21, 2010

Last NPPES UpdateMarch 6, 20192 updates tracked since enumeration

✔ NPI 1689995011 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 · LPC004631

2775 CRUSE RD STE 1601, Lawrenceville, GA 30044

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Other Identifiers 1

OtherLPC004631GA · Lpc Of Georgia

Other Providers at the Same Location NPPES

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

DR. YUEHONG CHEN FOLEY LPC

Counselor

2775 CRUSE RD STE 1601
LAWRENCEVILLE, GA 30044

Gwinnett County (678) 924-3201

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 Mary Pederson's NPI number?

The NPI number for Mary Pederson is 1689995011. It was assigned to this individual provider in the NPPES registry on June 21, 2010.

Where is Mary Pederson located?

Mary Pederson practices at 2775 Cruse Rd Ste 1601, Lawrenceville, GA 30044. The listed phone number is (678) 620-3204.

What is Mary Pederson's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Pederson was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.