Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Kemp Brockman

Individual provider Mental Health Counselor · NPI 1710462874

Amy Kemp Brockman is a Mental Health Counselor in Canton, Georgia. Qualified in 2014, 12 years ago. Practices with Canton Counseling LLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
12
Licensed in
GA
In the registry since
2018

Practice location Address checks out

310 Paper Trail Way Ste 106
Canton, GA 30115-5204
Phone: (678) 880-4645
Fax: (770) 628-0046
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC010385 (GA)

Record details

NPI number1710462874
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 25, 2018
Last updated in NPPESSeptember 25, 2018
Mailing address310 Paper Trail Way Ste 106, Canton, GA 30115-5204

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Canton Counseling Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Canton