Brandy Kaye Nicholson , LPC

Counselor - Professional • Acworth, GA

Active NPI 1104230184 Individual Practitioner Female Practitioner

Practice location in NPPES

4989 N Main St Ste 106
Acworth, GA 301015278

Call 4707452775 Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Brandy Nicholson is listed in NPPES under Counselor - Professional.
NPI assigned on June 17, 2014; this date does not establish years in practice.
No Medicare Part B / Part D records for this NPI in the CMS files shown here. CMS covers only Medicare fee-for-service / Part D claims and omits records with fewer than 11 beneficiaries, so this does not show whether the provider accepts Medicare or prescribes.

Practice Location & Contact Primary Location

Practice Address

4989 N Main St Ste 106

Acworth, GA 301015278

Telephone 4707452775

Fax 4707452777

Before You Book

Paying without insurance? Prepare a cost-estimate request

Ask about interpreters and office accessibility

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Cartersville, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Counselor - Professional: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Acworth and Georgia

42 active clinicians are listed under Counselor - Professional with a practice address in Acworth, GA (6,608 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Acworth

0% of these 42 clinicians have the CMS telehealth indicator.

2.4% of these 42 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-04-11

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES GA LPC010754

Counselor - School

NUCC Taxonomy Code: 101YS0200X

License # reported to NPPES GA APC005357

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.

Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID

1104230184 (GA)

Secondary Practice Locations

116 Hamilton Crossing Rd Nw

Cartersville, GA 301204884

Phone: 7705489078

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

22 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)

🏢

Secondary Practice Location Registered April 11, 2022

Additional practice office at 116 Hamilton Crossing Rd NW, Cartersville, GA 301204884

🎓

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

Counselor (license number reported to NPPES: GA APC005357)

🎓

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

Counselor (license number reported to NPPES: GA LPC010754)

📍

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 number reported to NPPES: GA APC005357)

✅

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

📍

Practice Location (Initial Record) June 17, 2014

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

📍

Business Mailing Address (Initial Record) June 17, 2014

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

👤

Provider Name / Credentials (Initial Record) 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.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.