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

Mr. Carlton Wendell Mitchell, LPCPLLC

Individual provider Mental Health Counselor · NPI 1821622267

Mr. Carlton Wendell Mitchell, LPCPLLC is a Mental Health Counselor in Fayetteville, Georgia. Qualified in 2014, 12 years ago. Practices with Brightside Medical PC, a 280-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia, North Carolina and Texas.

Years since qualifying
12
Licensed in
GA, NC, TX
In the registry since
2020
Specialties on file
4
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Practice location Address checks out

110 Habersham Dr Ste 146
Fayetteville, GA 30214-1381
Phone: (903) 576-5136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 013730 (GA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 19919 (NC)
Professional Counselor Taxonomy 101YP2500X
Professional Counselor Taxonomy 101YP2500X · Licence 74092 (TX)

Record details

NPI number1821622267
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCPLLC
Sole proprietorNo
NPI enumeratedFebruary 25, 2020
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

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 Brightside Medical Pc — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Fayetteville