Debra J Vereen

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC11204 Issued in GA

Practice address

4251 N Braves Cir
Douglasville, GA 30135-4304

Phone

(313) 477-6323

NPI assigned

Apr 26, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Heartlight Counseling Agency LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Douglasville, GA
  • NPI 1629698022
  NPD Authorized official

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

{
    "created_epoch": "1587859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587859200000",
    "number": "1447870837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 N BRAVES CIR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301354304",
            "telephone_number": "313-477-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 N BRAVES CIR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301354304",
            "telephone_number": "313-477-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEREEN",
        "first_name": "DEBRA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-26",
        "last_updated": "2020-04-26",
        "certification_date": "2020-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC11204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy L Velliquette, M.ED. CCC SLP L
• Vemandal Nursing Services Inc.
• Dennis Quentin Venner, LMT
• Tamika Lytrail Ventez, RBT
• Stephen Redmond Ventre, LPC
• Bharat M. Vibhakar, RPH
• Victory Multicare Nursing Services, Inc.
• Vida Billing Services
• Yeritxa Enid Viera, DMD
• Village Pharmacy Inc

• Professional Counselor in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2020; 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.