Active NPI
Michael Lee Chafin, M. DIV., M. ED.
- Marriage & Family Therapist
- Atlanta, GA
National Provider Identifier
1154530046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 580
- Practice address
- 1708 Peachtree St NW
Suite 505
Atlanta, GA 30309-2434 - Phone
- (404) 872-8065
- Fax
- (404) 872-0925
- NPI assigned
- May 21, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 580 | GA | Primary |
Addresses
Primary practice location
1708 Peachtree St NW
Suite 505
Atlanta, GA 30309-2434
Mailing address
1708 Peachtree St NW
Suite 505
Atlanta, GA 30309-2434
Phone (404) 872-8065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 580 | GA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix and Pearl Counseling Services, LLC | Marriage & Family Therapist | 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 and National Provider Directory roles.
-
- Marriage & Family Therapist
- Atlanta, GA
- NPI 1316243975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154530046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 PEACHTREE ST NW",
"address_2": "SUITE 505",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303092434",
"telephone_number": "404-872-8065",
"fax_number": "404-872-0925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 PEACHTREE ST NW",
"address_2": "SUITE 505",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303092434",
"telephone_number": "404-872-8065",
"fax_number": "404-872-0925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAFIN",
"first_name": "MICHAEL",
"middle_name": "LEE",
"credential": "M. DIV., M. ED.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.