Active NPI
Angel Jocelin Haye, LPC
- Professional Counselor
- Conyers, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC013655
- Practice address
- 2365 Wall St SE Ste 200-04
Conyers, GA 30013-2197 - Phone
- (404) 890-0125
- NPI assigned
- Dec 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | LPC013655 | GA | Primary |
Addresses
Primary practice location
2365 Wall St SE Ste 200-04
Conyers, GA 30013-2197
Mailing address
1820 Georgia Highway 20 SE Ste 114
Conyers, GA 30013-2076
Phone (404) 890-0125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 4, 2024 through Oct 4, 2026
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
415 W Golf Rd
Arlington Heights, IL 60005-3923
9024 Karlov Ave
Skokie, IL 60076-1716
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC013655 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart, Hope and Healing, LLC | Mental Health | Current | Accepting new patients |
Locations
1820 Highway 20 SE
Ste 114
Conyers, GA 30013
Phone (470) 260-4624
2365 Wall St SE
Ste 20004
Conyers, GA 30013
Phone (404) 890-0125
7910 Mall Ring Rd
Stonecrest, GA 30038
Phone (770) 510-6477
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.
-
- Mental Health Counselor
- Conyers, GA
- NPI 1619754850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1003526963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 GEORGIA HIGHWAY 20 SE STE 114",
"city": "CONYERS",
"state": "GA",
"postal_code": "300132076",
"telephone_number": "404-890-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2365 WALL ST SE STE 200-04",
"city": "CONYERS",
"state": "GA",
"postal_code": "300132197",
"telephone_number": "404-890-0125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYE",
"first_name": "ANGEL",
"middle_name": "JOCELIN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-01",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC013655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- 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.