Individual provider Active NPI

Deon Sanders

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1053863951
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC012673 Issued in GA
Practice address
2915 Chilhowee Dr
Atlanta, GA 30331-9443
Phone
(678) 446-5445
NPI assigned
Oct 27, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X LPC012673 GA
Professional Counselor 101YP2500X APC005267 GA
Mental Health Counselor 101YM0800X LPC012673 GA Primary
Counselor 101Y00000X LPC012673 GA
Addiction (Substance Use Disorder) Counselor 101YA0400X LPC012673 GA

Addresses

Primary practice location

2915 Chilhowee Dr
Atlanta, GA 30331-9443

Mailing address

3378 Greenbriar Pkwy SW Apt 9201
Atlanta, GA 30331-0620
Phone (678) 446-5445

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250228002337 GA Practitioner - Mental Health Counselor 9537689914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

550 Fairburn Rd SW
Suite A3B
Atlanta, GA 30331-2016
Phone (770) 589-7938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APC005267GAMDProfessional Counselor
LPC012673GAMDNon-emergency Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
Seek Wise Counsel Counselor CurrentSince Apr 1, 2025 Accepting new patients
The Sanders Center Addiction (Substance Use Disorder) CurrentSince Nov 5, 2024 Accepting new patients

Locations

550 Fairburn Rd SW
Ste A3B
Atlanta, GA 30331
Phone (770) 589-7938

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1053863951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3378 GREENBRIAR PKWY SW APT 9201",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303310620",
            "telephone_number": "678-446-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 CHILHOWEE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303319443",
            "telephone_number": "678-446-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "DEON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-27",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "LPC012673",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC005267",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC012673",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC012673",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "LPC012673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.