Anthony A Granberry, THD, LPC, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC005075 Issued in GA

Practice address

1276 McConnell Dr Ste a
Decatur, GA 30033-3533

Phone

(404) 954-2324

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1487709481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 MCCONNELL DR STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333533",
            "telephone_number": "404-954-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 MCCONNELL DR STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333533",
            "telephone_number": "404-954-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANBERRY",
        "first_name": "ANTHONY",
        "middle_name": "A",
        "credential": "THD, LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001232",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219747233A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walter A Grage, DDS
• Antonio Andre Graham, D.O.
• Gertrude Durham Graham, BSN,RN
• Kiva Yolanda Graham
• Stephanie Grain, RPH
• Ross Kaelund Granderson, PT, DPT
• Audrey Grant, NDTR
• Belinda Annette Grant
• Benjamin Howard Grant
• Eddie Grant, CPHT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.