Individual provider Active NPI

Faith Joy Wright, LCSW

  • Mental Health Counselor
  • Stone Mountain, GA
National Provider Identifier
1164593828
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1828 Issued in GA
Practice address
5300 Memorial Dr
212
Stone Mountain, GA 30083-3148
Phone
(404) 299-0490
Fax
(404) 299-0492
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1828 GA Primary

Addresses

Primary practice location

5300 Memorial Dr
212
Stone Mountain, GA 30083-3148

Mailing address

PO Box 870393
Stone Mountain, GA 30087-0010
Phone (404) 299-0490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20041124000093 GA Practitioner - Clinical Social Worker 2769447283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1310 Rockbridge Rd
Suite E
Stone Mountain, GA 30087-3163
Phone (770) 381-2230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1828GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Joy Wright, Psychotherapist, Inc CurrentSince Sep 19, 2005 Accepting new patients

Locations

1310 Rockbridge Rd
Ste E
Stone Mountain, GA 30087
Phone (770) 381-2230

5300 Memorial Dr
Ste 123D
Stone Mountain, GA 30083
Phone (404) 423-4841

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164593828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870393",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300870010",
            "telephone_number": "404-299-0490",
            "fax_number": "404-299-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 MEMORIAL DR",
            "address_2": "212",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833148",
            "telephone_number": "404-299-0490",
            "fax_number": "404-299-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "FAITH",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "1828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

Verify at the official NPI Registry.