Individual provider Active NPI

Mazi Moore Robinson, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1255763967
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC006005 Issued in GA
Practice address
12 Piedmont Ctr NE Ste 419
3495 Piedmont Road
Atlanta, GA 30305-4817
Phone
(404) 906-5620
NPI assigned
Aug 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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 LPC006005 GA Primary

Addresses

Primary practice location

12 Piedmont Ctr NE Ste 419
3495 Piedmont Road
Atlanta, GA 30305-4817

Mailing address

376 Allison Dr NE
Atlanta, GA 30342-4503
Phone (404) 906-5620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 9, 2024 through Jan 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC006005GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cultivate JCF LLC Professional Current Accepting new patients

Locations

3525 Piedmont Rd NE
Bldg 7
Atlanta, GA 30305
Phone (404) 237-3987

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1255763967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 ALLISON DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424503",
            "telephone_number": "404-906-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PIEDMONT CTR NE STE 419",
            "address_2": "3495 PIEDMONT ROAD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303054817",
            "telephone_number": "404-906-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "MAZI",
        "middle_name": "MOORE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.