Jea'N Dequia Tersha Wyatt, LAPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

277 Highway 74 N Ste 306
Peachtree City, GA 30269-1571

Phone

(404) 901-6634

NPI assigned

Jan 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Abide Integrative Counseling Services, LLC

  • Professional Counselor
  • Fairburn, GA
  • NPI 1063269082
  NPD Authorized official
• Counseling Innovations, LLC

  • Professional Counselor
  • Marietta, GA
  • NPI 1922238807
  NPD (past)

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667088000000",
    "number": "1447714258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6636 SKY LEAF LN",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302136527",
            "telephone_number": "706-466-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 HIGHWAY 74 N STE 306",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691571",
            "telephone_number": "404-901-6634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Vann St NE Ste 220",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300607230",
            "country_code": "US",
            "telephone_number": "678-919-1077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYATT",
        "first_name": "JEA'N DEQUIA",
        "middle_name": "TERSHA",
        "name_prefix": "Mrs.",
        "credential": "LAPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2022-10-30",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@accesscounselingandcoaching.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "277 Highway 74 N Ste 306",
            "city": "Peachtree City",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302691571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Allison Wray, LAPC
• Amanda Wright
• Mia Y Wright, MBA, LCSW
• Pamela M Wright, PH.D.
• Tya Wright, FNP
• Patria Lorraine Ybanez, PHARM D
• Silviya Yordanova
• Christina Yother-Williams, LPC, CRC
• Daniel M Young, PA-C
• Zane Scarborough, PHD LLC

• Mental Health Counselor in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2022; 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.