Daja Shanay Robinson, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC013360 Issued in GA

Practice address

1039 Victoria Walk LN
Dacula, GA 30019-4215

Phone

(678) 926-9848

NPI assigned

Jun 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Redefined Mind Center for Change LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dacula, GA
  • NPI 1730943572
  NPD Authorized official
• Empower Counseling Center LLC

  • Clinical Social Worker
  • Suwanee, GA
  • NPI 1164064366

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1124696471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 VICTORIA WALK LN",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194215",
            "telephone_number": "678-926-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 VICTORIA WALK LN",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194215",
            "telephone_number": "678-926-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "DAJA",
        "middle_name": "SHANAY",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC007930",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Riley, CLD
• Brittney Nicole Rish, FNP-C
• Jonathan Rish, MSN, APRN, PMHNP-BC
• Rivendell Counselors, LLC
• Sarah Roach, PT, DPT
• Sarah A Robles, APC
• Jennifer A Rogers, DPT
• Lorrie K Rogers, PT
• Tara Romanowski, M.S.
• Meagan Ross

• All providers in Dacula, GA
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.