Individual provider Active NPI

Sathiya Priya Palanisamy

  • Mental Health Counselor
  • Peachtree City, GA
National Provider Identifier
1033965454
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
6000 Shakerag HL Ste 314
Peachtree City, GA 30269-6523
Phone
(404) 977-6712
NPI assigned
Apr 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

6000 Shakerag HL Ste 314
Peachtree City, GA 30269-6523

Mailing address

6000 Shakerag HL
Peachtree City, GA 30269-6523
Phone (678) 519-8820

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
Serenity Tree Senoia LLC Mental Health CurrentSince Apr 28, 2024 Accepting new patients

Locations

6000 Shakerag Hl
Ste 314
Peachtree City, GA 30269
Phone (404) 977-6712

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": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1033965454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 SHAKERAG HL",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696523",
            "telephone_number": "678-519-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 SHAKERAG HL STE 314",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696523",
            "telephone_number": "404-977-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALANISAMY",
        "first_name": "SATHIYA PRIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.