Active NPI
Anissa Kenyatta Howard, LPC, LMFT, RPT-S
- Professional Counselor
- Warner Robins, GA
National Provider Identifier
1396082210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC007142
- Practice address
- 507 N Davis Dr Ste 1a
Warner Robins, GA 31093-2687 - Phone
- (478) 238-3795
- Fax
- (478) 202-9018
- NPI assigned
- Jan 11, 2013
- Last updated
- Aug 20, 2021
- 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 | LPC007142 | GA | Primary |
| School Counselor | 101YS0200X | 856390 | GA |
Addresses
Primary practice location
507 N Davis Dr Ste 1a
Warner Robins, GA 31093-2687
Mailing address
PO Box 6934
Warner Robins, GA 31095-6934
Phone (478) 284-3554
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 |
|---|---|---|---|
| LPC007142 | GA | MD | Professional Counselor |
| 856390 | GA | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Clinical Supervision and Professional Development, LLC | Current | Accepting new patients | |
| Middle Georgia Associates, LLC | Current | Accepting new patients | |
| Deerfield Associates, LLC | Current | Accepting new patients |
Locations
507 N Davis Dr
Ste 1A
Warner Robins, GA 31093
Phone (478) 238-3795
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Warner Robins, GA
- NPI 1861085185
-
- Mental Health Counselor
- Warner Robins, GA
- NPI 1053815480
-
- Community/Behavioral Health Agency
- Warner Robins, GA
- NPI 1407350630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1396082210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6934",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310956934",
"telephone_number": "478-284-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 N DAVIS DR STE 1A",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310932687",
"telephone_number": "478-238-3795",
"fax_number": "478-202-9018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "ANISSA",
"middle_name": "KENYATTA",
"name_prefix": "Dr.",
"credential": "LPC, LMFT, RPT-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-11",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC007142",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "GA",
"license": "856390",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
- Houston Primary Care Physicians, LLC (Houston Internal Medicine Associates)
- Houston Primary Care Physicians, LLC (Houston Family Care Associates at The Pavilion)
- Houston Primary Care, Inc.
- Houston RX LLC
- Houston Surgical Consultants LLC
- Kimberly Hall Howard, FNP-C
- Shakita Howard
- Curtis Clayton Howell II, CRNA
- Demetria Howell, LMSW
- Holly Howell, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.