Active NPI
Faith Michele Holston
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1003514423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC009729
- Practice address
- 1030 Fayetteville Rd SE
Atlanta, GA 30316-2921 - Phone
- (404) 486-9034
- NPI assigned
- Feb 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC009729 | GA | Primary |
Addresses
Primary practice location
1030 Fayetteville Rd SE
Atlanta, GA 30316-2921
Mailing address
1030 Fayetteville Rd SE
Atlanta, GA 30316-2921
Phone (404) 486-9034
Other practice location 1
200 Westpark Dr Ste 120
Peachtree City, GA 30269-1447
Phone (678) 679-9796
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
803 Sunken Rd
Fredericksburg, VA 22401-5401
PO Box
Atlanta, GA 30374
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC009729 | GA | MD | Professional Counselor |
Networks
- AL HMO
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- AL HMO D-SNP
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- FL HMO D-SNP
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- TN PPO C-SNP
- FL HMO
- FL HMO C-SNP
- TN PPO
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1003514423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 FAYETTEVILLE RD SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303162921",
"telephone_number": "404-486-9034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 FAYETTEVILLE RD SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303162921",
"telephone_number": "404-486-9034"
}
],
"practiceLocations": [
{
"address_1": "200 Westpark Dr Ste 120",
"address_purpose": "LOCATION",
"city": "Peachtree City",
"state": "GA",
"postal_code": "302691447",
"country_code": "US",
"telephone_number": "678-679-9796",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLSTON",
"first_name": "FAITH",
"middle_name": "MICHELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-16",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC009729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.