Individual provider Active NPI

Honidu Marico, CHW CPS-P DOULA CMC

  • Peer Specialist
  • Stone Mountain, GA
National Provider Identifier
1033091319
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
957 Main St Ste A108
Stone Mountain, GA 30083-3060
Phone
(470) 336-2149
NPI assigned
Jul 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X GA
Community Health Worker 172V00000X GA
Peer Specialist 175T00000X GA Primary

Addresses

Primary practice location

957 Main St Ste A108
Stone Mountain, GA 30083-3060

Mailing address

957 Main St Ste A108
Stone Mountain, GA 30083-3060
Phone (470) 336-2149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
HCF Preventative Services, Inc. Community Health Worker CurrentSince Jul 28, 2025 Accepting new patients

Locations

957 Main St
Ste A108
Stone Mountain, GA 30083
Phone (470) 336-2149

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": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1033091319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 MAIN ST STE A108",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833060",
            "telephone_number": "470-336-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 MAIN ST STE A108",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833060",
            "telephone_number": "470-336-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARICO",
        "first_name": "HONIDU",
        "credential": "CHW CPS-P DOULA  CMC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.