Individual provider Active NPI

Tiy-E Muhammad, LPC

  • Professional Counselor
  • Decatur, GA
National Provider Identifier
1275048811
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC009769 Issued in GA
Practice address
160 Clairemont Ave Ste 200
Decatur, GA 30030
Phone
(213) 309-7606
NPI assigned
Dec 5, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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 LPC009769 GA Primary

Addresses

Primary practice location

160 Clairemont Ave Ste 200
Decatur, GA 30030

Mailing address

570 Piedmont Ave NE Unit 55501
Atlanta, GA 30308-8716
Phone (213) 309-7606

Other practice location 1

1419 Hornell LN
Smyrna, GA 30082
Phone (213) 309-7606

Other names 1

  • Dr. Tiy-E Muhammad Former name

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

LicenseStateTypeSpecialty
LPC009769GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1275048811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 PIEDMONT AVE NE UNIT 55501",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303088716",
            "telephone_number": "213-309-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CLAIREMONT AVE STE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30030",
            "telephone_number": "213-309-7606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1419 HORNELL LN",
            "address_purpose": "LOCATION",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30082",
            "country_code": "US",
            "telephone_number": "213-309-7606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUHAMMAD",
        "first_name": "TIY-E",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-05",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIY-E",
            "last_name": "MUHAMMAD",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.