Active NPI
Letitia Keshaun Grangent, MS, MED, LPC
- Professional Counselor
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC012772
- Practice address
- 2083 Pemberton Rd SW
Atlanta, GA 30331-2522 - Phone
- (404) 401-7674
- NPI assigned
- Mar 21, 2022
- Last updated
- Mar 21, 2023
- 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 | LPC012772 | GA | Primary |
Addresses
Primary practice location
2083 Pemberton Rd SW
Atlanta, GA 30331-2522
Mailing address
2002 Summit Blvd Ste 300
Brookhaven, GA 30319-6422
Phone (414) 424-4266
Other practice location 1
8300 Esters Blvd Ste 900
Irving, TX 75063-2233
Phone (414) 424-4266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC012772 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current | 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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1225787823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 SUMMIT BLVD STE 300",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303196422",
"telephone_number": "414-424-4266",
"fax_number": "405-520-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2083 PEMBERTON RD SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303312522",
"telephone_number": "404-401-7674"
}
],
"practiceLocations": [
{
"address_1": "8300 Esters Blvd Ste 900",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "750632233",
"country_code": "US",
"telephone_number": "414-424-4266",
"fax_number": "405-520-6633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANGENT",
"first_name": "LETITIA",
"middle_name": "KESHAUN",
"credential": "MS, MED, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-21",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC012772",
"primary": true
}
],
"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 Mar 21, 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.
- 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.