Active NPI
Keisha T Tanner, LPC
- Professional Counselor
- McDonough, GA
National Provider Identifier
1255620332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC007711
- Practice address
- 289 Jonesboro Rd Ste 150
McDonough, GA 30253-3725 - Phone
- (470) 894-7932
- NPI assigned
- Mar 29, 2011
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | APC002881 | GA | |
| Professional Counselor | 101YP2500X | LPC007711 | GA | Primary |
Addresses
Primary practice location
289 Jonesboro Rd Ste 150
McDonough, GA 30253-3725
Mailing address
289 Jonesboro Rd Ste 150
McDonough, GA 30253-3725
Phone (470) 894-7932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC002881 | GA | MD | Counselor |
| LPC007711 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1255620332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 JONESBORO RD STE 150",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302533725",
"telephone_number": "470-894-7932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 JONESBORO RD STE 150",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302533725",
"telephone_number": "470-894-7932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "KEISHA",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-29",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "APC002881",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC007711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.