Active NPI
Annicia Robison, LPC, NCC, MS
- Mental Health Counselor
- Rex, GA
National Provider Identifier
1104503465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC014057
- Practice address
- 3060 Brook LN
Rex, GA 30273-2435 - Phone
- (404) 808-1901
- NPI assigned
- Jun 29, 2023
- Sex
- Female
- Sole proprietor
- No
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 | LPC014057 | GA | Primary |
Addresses
Primary practice location
3060 Brook LN
Rex, GA 30273-2435
Mailing address
3060 Brook LN
Rex, GA 30273-2435
Phone (404) 808-1901
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC014057 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1104503465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3060 BROOK LN",
"city": "REX",
"state": "GA",
"postal_code": "302732435",
"telephone_number": "404-808-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3060 BROOK LN",
"city": "REX",
"state": "GA",
"postal_code": "302732435",
"telephone_number": "404-808-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBISON",
"first_name": "ANNICIA",
"name_prefix": "Ms.",
"credential": "LPC, NCC, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-29",
"last_updated": "2023-10-25",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC014057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rex, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.