Individual provider Active NPI

Tokunbo Tocee Shokunbi Harmon

  • Counselor
  • Kennesaw, GA
National Provider Identifier
1396415659
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MSW007448 Issued in GA
Practice address
1815 Old 41 Hwy NW Ste 110
Kennesaw, GA 30152-4422
Phone
(404) 717-3176
NPI assigned
Sep 17, 2021
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MSW007448 GA Primary

Addresses

Primary practice location

1815 Old 41 Hwy NW Ste 110
Kennesaw, GA 30152-4422

Mailing address

8491 Hospital Dr # 156
Douglasville, GA 30134-2412
Phone (404) 610-6362

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
MSW007448GAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Counseling LLC Counselor Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1396415659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8491 HOSPITAL DR # 156",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342412",
            "telephone_number": "404-610-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 OLD 41 HWY NW STE 110",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524422",
            "telephone_number": "404-717-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOKUNBI HARMON",
        "first_name": "TOKUNBO",
        "middle_name": "TOCEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "MSW007448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.