Active NPI
Shequita Moxey
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1194273441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC013601
- Practice address
- 270 Carpenter Dr Ste 400
Atlanta, GA 30328-4933 - Phone
- (678) 460-0345
- NPI assigned
- Sep 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC013601 | GA | Primary |
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
270 Carpenter Dr Ste 400
Atlanta, GA 30328-4933
Mailing address
3204 Wanstead Park Dr Apt 304
Suwanee, GA 30024-0070
Phone (678) 510-3813
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Discover Tranquility Therapy Services LLC | Professional | Current | Accepting new patients |
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
| Family Ties Inc. | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
300 Colonial Center Pkwy
Ste 100
Roswell, GA 30076
Phone (470) 670-6319
Organizations & group practices 3
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.
-
- Professional Counselor
- Roswell, GA
- NPI 1114800042
-
- Community/Behavioral Health Agency
- Sandy Springs, GA
- NPI 1275753782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1194273441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3204 WANSTEAD PARK DR APT 304",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300240070",
"telephone_number": "678-510-3813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 CARPENTER DR STE 400",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303284933",
"telephone_number": "678-460-0345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOXEY",
"first_name": "SHEQUITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-15",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC013601",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"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 Feb 17, 2023; 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.