Nongkhane Cavender, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC008461 Issued in GA

Practice address

11097 Houze Rd
Roswell, GA 30076-5669

Phone

(678) 403-0112

NPI assigned

Dec 19, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1467164699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HOLCOMBE HILL LN",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300040863",
            "telephone_number": "678-986-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11097 HOUZE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765669",
            "telephone_number": "678-403-0112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Holcombe Hill Ln",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "GA",
            "postal_code": "300040863",
            "country_code": "US",
            "telephone_number": "678-986-7506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVENDER",
        "first_name": "NONGKHANE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC008461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Castro-Borobio, M.D.
• Andrea Victoria Castro
• Erin Cwick Caughman, PT, DPT
• Christine M Cavanaugh, OTR/L
• Kelly C.H. Cave, M.S.P.T.
• Laura Elizabeth Cayce, PT
• CD Village
• Francesca Maria Ceci, MD
• Cedrick Noel, PC
• Shyrece Celestine

• Mental Health Counselor in Roswell, GA
• Providers in Roswell, 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 Dec 19, 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.