Active NPI
Nikisha Moet Douge, LMFT
- Marriage & Family Therapist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT002212
- Practice address
- 3330 Cumberland Blvd SE
Atlanta, GA 30339-5995 - Phone
- (404) 939-1989
- NPI assigned
- Jun 10, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT002212 | GA | Primary |
| Marriage & Family Therapist | 106H00000X | T3316 | OR |
Addresses
Primary practice location
3330 Cumberland Blvd SE
Atlanta, GA 30339-5995
Mailing address
8735 Dunwoody PL Ste R
Atlanta, GA 30350-2995
Phone (404) 939-1989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1618 Chancery LN
Lithia Springs, GA 30122-3823
6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089
8735 Dunwoody PL
Atlanta, GA 30350-2995
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT002212 | GA | MD | Marriage & Family Therapist |
| T3316 | OR | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartwood Marriage & Family Wellness LLC | Marriage & Family Therapist | Current | Accepting new patients |
| Mindful Therapy Group PC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
3330 Cumberland Blvd SE
Atlanta, GA 30339
Phone (404) 939-1989
3330 Cumberland Blvd SE
Ste 500
Atlanta, GA 30339
Phone (404) 726-0283
8735 Dunwoody Pl
Ste R
Sandy Springs, GA 30350
Phone (478) 298-6924
5440 SW Westgate Dr
Ste 350
Portland, OR 97221
Phone (503) 292-1100
11740 SW 68th Pkwy
Ste 200
Tigard, OR 97223
Phone (425) 477-4216
6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463
Organizations & group practices 2
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 1467334094
-
dba Mindful Therapy Group
- Clinical Social Worker
- Mountlake Terrace, WA
- NPI 1316238678
Marriage & Family Therapist, OR
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1194392738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8735 DUNWOODY PL STE R",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303502995",
"telephone_number": "404-939-1989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 CUMBERLAND BLVD SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395995",
"telephone_number": "404-939-1989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGE",
"first_name": "NIKISHA",
"middle_name": "MOET",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-10",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT002212",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T3316",
"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 Oct 8, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.