Active NPI
Tabitha Wilson
- Professional Counselor
- Hiram, GA
National Provider Identifier
1265152243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC017084
- Practice address
- 848 Hiram Acworth Hwy Ste 100
Hiram, GA 30141-2399 - Phone
- (678) 664-4311
- NPI assigned
- Aug 31, 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC017084 | GA | Primary |
Addresses
Primary practice location
848 Hiram Acworth Hwy Ste 100
Hiram, GA 30141-2399
Mailing address
111 Ridgeview CT
Peachtree City, GA 30269-1533
Phone (678) 895-7368
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1265152243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 RIDGEVIEW CT",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691533",
"telephone_number": "678-895-7368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "848 HIRAM ACWORTH HWY STE 100",
"city": "HIRAM",
"state": "GA",
"postal_code": "301412399",
"telephone_number": "678-664-4311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "TABITHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC017084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hiram, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.