Active NPI
Mindy Pierce
- Professional Counselor
- Suwanee, GA
National Provider Identifier
1164802724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 005969
- Practice address
- 4411 Suwanee Dam Rd
Suite 440
Suwanee, GA 30024-8701 - Phone
- (404) 861-0942
- NPI assigned
- Jun 8, 2015
- Last updated
- Jun 8, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 005969 | GA | Primary |
Addresses
Primary practice location
4411 Suwanee Dam Rd
Suite 440
Suwanee, GA 30024-8701
Mailing address
4411 Suwanee Dam Rd
Suite 440
Suwanee, GA 30024-8701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 15, 2024 through Mar 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433721600000",
"number": "1164802724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 SUWANEE DAM RD",
"address_2": "SUITE 440",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300248701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 SUWANEE DAM RD",
"address_2": "SUITE 440",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300248701",
"telephone_number": "404-861-0942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "MINDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-08",
"last_updated": "2015-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "005969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.