Active NPI
Monique Gadson
- Professional Counselor
- Stone Mountain, GA
National Provider Identifier
1417418492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC007430
- Practice address
- 6740 James B Rivers Dr
Stone Mountain, GA 30083-2235 - Phone
- (404) 287-1176
- NPI assigned
- Mar 30, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC007430 | GA | Primary |
Addresses
Primary practice location
6740 James B Rivers Dr
Stone Mountain, GA 30083-2235
Mailing address
1308 Crosswind PL
McDonough, GA 30252-8726
Phone (770) 712-7959
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 |
|---|---|---|---|
| LPC007430 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553904000000",
"number": "1417418492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 CROSSWIND PL",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302528726",
"telephone_number": "770-712-7959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6740 JAMES B RIVERS DR",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300832235",
"telephone_number": "404-287-1176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADSON",
"first_name": "MONIQUE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-30",
"last_updated": "2019-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC007430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.