Daphney Sheena Predvil, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC013930 Issued in GA

Practice address

5556 Atlanta Hwy
Flowery Branch, GA 30542-3552

Phone

(770) 691-2866

NPI assigned

May 31, 2023

Last updated

May 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

JTL Counseling Services, LLCGroup PAC ID 0547613317, 2 clinicians

Psychiatry and Wellness of Georgia, LLCGroup PAC ID 7810351608, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• JTL Counseling Services, LLC

  • Professional Counselor
  • Flowery Branch, GA
  • NPI 1689111353
  Medicare reassignment Care Compare group NPD
• Psychiatry and Wellness of Georgia, LLC

  • Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
  • Roswell, GA
  • NPI 1528774916
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1336832906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4368 BLUE SMOKE TRL",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305481779",
            "telephone_number": "404-514-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5556 ATLANTA HWY",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423552",
            "telephone_number": "770-691-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREDVIL",
        "first_name": "DAPHNEY",
        "middle_name": "SHEENA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pines Compnay LLC (Clarity Coaching)
• Nikia Pinson
• Shannon B Pittman, DDS
• Betty Michelle Plymel, BCBA
• Katie Pope
• Devan Pressley, PHARMD
• Gayla K Prince, PHYSICAL THERAPIST
• Leslye Pritchett
• Publix Super Markets Inc (Publix Pharmacy #1279)
• Publix Super Markets Inc (Publix Pharmacy #0844)

• Professional Counselor in Flowery Branch, GA
• Providers in Flowery Branch, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.