Christine J. Mezza, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4731 Issued in GA

Practice address

2260 Gold Mine Rd
Dallas, GA 30157

Phone

(678) 978-0464

Fax

(770) 505-3190

NPI assigned

Jan 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, MO, VA, AZ, GA, FL, NC, KS, MI, NE, OK, TX, MN, WI, UT, OR, SD, ID18 enrollments

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 18

Specialty

Mental Health Counselor

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• UT PPO D-SNP

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  AZ, FL, GA, ID, MO, NE, OK, Professional, SD, TX, UT, VA, WI

  Medicare reassignment Care Compare group NPD
• Sondermind PC

  • Clinical Social Worker
  • San Jose, CA
  • NPI 1003646977

  NC, Professional

  Medicare reassignment NPD
• Sondermind, P.a.

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1710647581

  MI, MN, OR

  Medicare reassignment NPD
• Hope Professional Counseling Services

  • Professional Counselor
  • Villa Rica, GA
  • NPI 1194359836
  NPD Authorized official

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1114103686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 GOLD MINE RD",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "30157",
            "telephone_number": "678-978-0464",
            "fax_number": "770-505-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 GOLD MINE RD",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "30157",
            "telephone_number": "678-978-0464",
            "fax_number": "770-505-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZZA",
        "first_name": "CHRISTINE",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "4731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameisha Ailean Merriweather, LCSW
• Metropolitan Home Care
• Metropolitan Home Care, LLC
• Alisha Mewborn
• Hailey Renee Meyers, LMSW
• MH Dental Group, LLC
• Micgra Telehealth LLLP
• Edwige Michel
• Joseph Baisden Mickler III, LPC
• Michael L Miles, MD

• Professional Counselor in Dallas, GA
• Providers in Dallas, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.