Active NPI
Holly R Degrand, LPC
- Mental Health Counselor
- Suwanee, GA
National Provider Identifier
1063798015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC006567
- Practice address
- 950 Scales Rd
Suite 302
Suwanee, GA 30024-4340 - Phone
- (404) 994-5000
- Fax
- (888) 264-8367
- NPI assigned
- Oct 21, 2011
- Last updated
- Mar 23, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC006567 | GA | Primary |
Addresses
Primary practice location
950 Scales Rd
Suite 302
Suwanee, GA 30024-4340
Mailing address
2340 Beaver Ruin Rd
Apt 74
Norcross, GA 30071-3220
Phone (678) 492-6822
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC006567 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sreedevi Vayalapalli, MD,PC | Past | Accepting new patients |
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, 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": "1319155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1063798015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 BEAVER RUIN RD",
"address_2": "APT 74",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300713220",
"telephone_number": "678-492-6822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 SCALES RD",
"address_2": "SUITE 302",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244340",
"telephone_number": "404-994-5000",
"fax_number": "888-264-8367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGRAND",
"first_name": "HOLLY",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-21",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC006567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.