Active NPI
Kendra Webb-Muhammad, LPC
- Professional Counselor
- Villa Rica, GA
National Provider Identifier
1306386941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 009414
- Practice address
- 101 Quartz Dr
Villa Rica, GA 30180-3255 - Phone
- (770) 812-8863
- Fax
- (770) 812-3805
- NPI assigned
- Mar 1, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 009414 | GA | Primary |
Addresses
Primary practice location
101 Quartz Dr
Villa Rica, GA 30180-3255
Mailing address
523 Dixie St
Carrollton, GA 30117-3870
Phone (770) 812-8863
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 |
|---|---|---|---|
| 009414 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanner Medical Center, Inc. | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Villa Rica, GA
- NPI 1033441290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488326400000",
"number": "1306386941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 DIXIE ST",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173870",
"telephone_number": "770-812-8863",
"fax_number": "770-812-8814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 QUARTZ DR",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301803255",
"telephone_number": "770-812-8863",
"fax_number": "770-812-3805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB-MUHAMMAD",
"first_name": "KENDRA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-01",
"last_updated": "2017-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "009414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Villa Rica, GA
- Ashaki Eva Warren, M.D.
- Julie G Warren, FNP
- Charis Re'Nee Warwick-Davis, THERAPIST
- Kari Watts
- Jayla Weaver, M.S., CCC-SLP
- Martha Juliet Webb, CTRS
- Wellstar Douglasville Medical Center at Villa Rica, LLC
- Wellstart Medical, LLC
- West Georgia Christian Counseling, LLC
- West Georgia Diagnostic Testing LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.