Individual provider Active NPI

Danyale Weems, LCSW, CCTP, RPTS

  • Mental Health Counselor
  • Carrollton, GA
National Provider Identifier
1477878460
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2717 N Highway 27
Carrollton, GA 30117-9349
Phone
(470) 244-2574
Fax
(678) 890-1518
NPI assigned
Apr 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Clinical Social Worker 1041C0700X CSW005581 GA

Addresses

Primary practice location

2717 N Highway 27
Carrollton, GA 30117-9349

Mailing address

856 Old Antioch Rd
Carrollton, GA 30117-7837
Phone (970) 682-9097

Other practice location 1

1149 Cashtown Rd
Bremen, GA 30110
Phone (770) 537-2367 ext. 117

Other identifiers 1

IdentifierTypeStateIssuer
0031652888BMedicaidGA

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Common Sense Chiropractic,LLC PastSince Jan 30, 2018 Accepting new patients
Neurobalance Center of Atlanta, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1477878460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 OLD ANTIOCH RD",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301177837",
            "telephone_number": "970-682-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 N HIGHWAY 27",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301179349",
            "telephone_number": "470-244-2574",
            "fax_number": "678-890-1518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1149 Cashtown Rd",
            "address_purpose": "LOCATION",
            "city": "Bremen",
            "state": "GA",
            "postal_code": "30110",
            "country_code": "US",
            "telephone_number": "770-537-2367 x117",
            "fax_number": "770-537-1203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEEMS",
        "first_name": "DANYALE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CCTP, RPTS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005581",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031652888B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.