Unknown Individual – Mental Health Counselor, NPI 1629119201

Unknown Individual is a healthcare provider. based in Decatur, Georgia. specializing in Mental Health Counselor. They hold a License No. LPC003117 (GA). The NPI Number for Unknown Individual is 1629119201

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629119201
Phone
(404) 378-6303
Address
421 E PONCE DE LEON AVE
Deactivation Date
22 November 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 421 E PONCE DE LEON AVE

    DECATUR, GA 300301936

    Phone: (404) 378-6303

    Type: Mailing

  • 2550 NORTHWINDS PKWY

    ALPHARETTA, GA 300042241

    Phone: (678) 319-3758

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30030)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1629119201.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Decatur, Georgia in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

DR. CLAUDIA CRENSHAW (RN,PHD,APRN,LPC)

Adult Psychiatric/Mental Health Clinical Nurse Specialist
Decatur Court, 315, West Ponce de Leon Avenue, Decatur, DeKalb County, Georgia, 30030, United States
NPI: 1366424566

MS. MIREILLE ETIENNE (LPC)

Professional Counselor
1, West Court Square, Decatur, DeKalb County, Georgia, 30030, United States
NPI: 1760414387
2616 OLD WESLEY CHAPEL RD
NPI: 1881610673
Medlock Road, Decatur, DeKalb County, Georgia, 30033, United States
NPI: 1821002791

MR. LUKE KING ROBINSON (COUNSELOR)

Mental Health Counselor
210 POND TRCE
NPI: 1144335753

DEVIN HEPKER (LMSW)

Mental Health Counselor
1027 IVEY CHASE PL
NPI: 1093823593

JANA GLASS (LPC)

Mental Health Counselor
Colony Park Citihomes II, 244, 13th Street Northeast, Midtown, Atlanta, Fulton County, Georgia, 30309, United States
NPI: 1396857124

MS. JAYNE E SMITH (LPC)

Mental Health Counselor
5342 ENCHANTED CV SW
NPI: 1659479434

MRS. JUDY THURMOND (B.S.)

Mental Health Counselor
Atlanta VA Medical Center, 1670, Clairmont Road, North Decatur, DeKalb County, Georgia, 30033, United States
NPI: 1295835668