Individual provider Active NPI

Angel Jocelin Haye, LPC

  • Professional Counselor
  • Conyers, GA
National Provider Identifier
1003526963
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC013655 Issued in GA
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

Updated by the provider on Jul 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LPC013655GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heart, Hope and Healing, LLC Mental Health CurrentSince Sep 1, 2023 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.

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

Verify at the official NPI Registry.