Active NPI
Monique Overstreet
- Counselor
- Dunwoody, GA
National Provider Identifier
1255984241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2498 Jett Ferry Rd Ste 205
Dunwoody, GA 30338-3062 - Phone
- (678) 935-6368
- NPI assigned
- Jul 19, 2019
- Last updated
- Feb 22, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
2498 Jett Ferry Rd Ste 205
Dunwoody, GA 30338-3062
Mailing address
977 Montreal Rd
Unit 1119
Tucker, GA 30084
Phone (678) 935-6368
Other practice location 1
1640 Powers Ferry Rd SE Bldg 14-200
Marietta, GA 30067-1459
Phone (888) 551-5168
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 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit's Edge Counseling & Personal Development | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Marietta, GA
- NPI 1942744859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1255984241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "977 MONTREAL RD",
"address_2": "UNIT 1119",
"city": "TUCKER",
"state": "GA",
"postal_code": "30084",
"telephone_number": "678-935-6368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2498 JETT FERRY RD STE 205",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303383062",
"telephone_number": "678-935-6368"
}
],
"practiceLocations": [
{
"address_1": "1640 Powers Ferry Rd SE Bldg 14-200",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300671459",
"country_code": "US",
"telephone_number": "888-551-5168",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OVERSTREET",
"first_name": "MONIQUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-19",
"last_updated": "2022-02-22",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunwoody, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.