Active NPI
Hillery C Ferdinand, LPC, NCC, DCC
- Professional Counselor
- Tucker, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC008639
- Practice address
- 3548 Habersham at Northlake
BLDG. F
Tucker, GA 30084-4009 - Phone
- (678) 406-9707
- NPI assigned
- Dec 29, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC002993 | GA | |
| Professional Counselor | 101YP2500X | LPC008639 | GA | Primary |
Addresses
Primary practice location
3548 Habersham at Northlake
BLDG. F
Tucker, GA 30084-4009
Mailing address
PO Box 7134
Douglasville, GA 30154-0036
Phone (678) 852-1583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, DC, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240213001385 | GA | Practitioner - Mental Health Counselor | 3577906908 | Reassigns benefits to 1 organization |
| I20240819002346 | DC | Practitioner - Mental Health Counselor | 3577906908 | Reassigns benefits to 1 organization |
| I20241213000200 | NJ | Practitioner - Mental Health Counselor | 3577906908 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC002993 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group of New Jersey PC | Professional | Current | Accepting new patients |
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
| Attachment and Bonding Center of Atlanta, LLC | Professional | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Hoboken, NJ
- NPI 1841949328
NJ, Professional
-
- Professional Counselor
- Tucker, GA
- NPI 1710132055
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1326317850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7134",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301540036",
"telephone_number": "678-852-1583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3548 HABERSHAM AT NORTHLAKE",
"address_2": "BLDG. F",
"city": "TUCKER",
"state": "GA",
"postal_code": "300844009",
"telephone_number": "678-406-9707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERDINAND",
"first_name": "HILLERY",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "LPC, NCC, DCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC002993",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC008639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.