Individual provider Active NPI

Letitia Keshaun Grangent, MS, MED, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1225787823
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC012772 Issued in GA
Practice address
2083 Pemberton Rd SW
Atlanta, GA 30331-2522
Phone
(404) 401-7674
NPI assigned
Mar 21, 2022
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240724004058 GA Practitioner - Mental Health Counselor 8527504679 Reassigns benefits to 1 organization
I20260617003968 FL Practitioner - Mental Health Counselor 8527504679 Reassigns benefits to 1 organization
I20260626001657 CO Practitioner - Mental Health Counselor 8527504679 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
LPC012772GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Jun 12, 2024 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

Verify at the official NPI Registry.