Individual provider Active NPI

Keisha Nichole Hood, MAMFT, LMFT, LPC

  • Marriage & Family Therapist
  • Stockbridge, GA
National Provider Identifier
1073910121
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001380 Issued in GA
Practice address
385 Country Club Dr
Suite E
Stockbridge, GA 30281-7351
Phone
(678) 671-9908
NPI assigned
Dec 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC007995 GA
Marriage & Family Therapist 106H00000X MFT001380 GA Primary

Addresses

Primary practice location

385 Country Club Dr
Suite E
Stockbridge, GA 30281-7351

Mailing address

167 Worthington Way
Lake Spivey, GA 30236-5588
Phone (678) 671-9908

Other names 1

  • K Nichole Hood Professional name

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

LicenseStateTypeSpecialty
LPC007995GAMDProfessional Counselor
MFT001380GAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1073910121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 WORTHINGTON WAY",
            "city": "LAKE SPIVEY",
            "state": "GA",
            "postal_code": "302365588",
            "telephone_number": "678-671-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 COUNTRY CLUB DR",
            "address_2": "SUITE E",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817351",
            "telephone_number": "678-671-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOD",
        "first_name": "KEISHA",
        "middle_name": "NICHOLE",
        "name_prefix": "Ms.",
        "credential": "MAMFT, LMFT, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-04",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007995",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "K",
            "last_name": "HOOD",
            "middle_name": "NICHOLE",
            "credential": "MAMFT, LMFT, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.