Lakeya Nichole Mitchell

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC011315 Issued in GA

Practice address

351 Commercial Dr Ste a
Savannah, GA 31406-3618

Phone

(912) 208-0049

NPI assigned

Feb 18, 2020

Sex

Female

Sole proprietor

Yes

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 SC

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fetter Health Care Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Charleston, SC
  • NPI 1003827304
  Medicare reassignment NPD
• Fetter Health Care Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Summerville, SC
  • NPI 1457007841
  Medicare reassignment NPD
• Fetter Health Care Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Summerville, SC
  • NPI 1518454818
  Medicare reassignment NPD
• Fetter Health Care Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Moncks Corner, SC
  • NPI 1659872059
  Medicare reassignment NPD
• Fetter Health Care Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Charleston, SC
  • NPI 1982124301
  Medicare reassignment NPD
• Transfigurations, LLC

  • Professional Counselor
  • Savannah, GA
  • NPI 1003445826
  NPD Authorized official
• Fetter Health Care Network, Inc

  • Federally Qualified Health Center (FQHC)
  • Summerville, SC
  • NPI 1174378707
  NPD

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1164055174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 RYALS ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314051538",
            "telephone_number": "912-208-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 COMMERCIAL DR STE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063618",
            "telephone_number": "912-208-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "LAKEYA",
        "middle_name": "NICHOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Howard Mitchell III, MD
• Jeanette Brown Mitchell, NP
• Jo Anne Alger Mitchell, M.ED.,LPC
• Kanesha Mitchell, RPH
• Kayla Maureen Mitchell
• Marcy Mitchell, RN
• Maria Mitchell
• Maxine Mitchell, NP
• Micaiah Mitchell, FNP-C
• Nicole Avendano Mitchell, NP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.