Active NPI
Camellia Aminzadeh, LPC
- Mental Health Counselor
- Marietta, GA
National Provider Identifier
1497574644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC015402
- Practice address
- 2470 Windy Hill Rd SE Ste 416
Marietta, GA 30067-8625 - Phone
- (470) 322-9165
- NPI assigned
- Oct 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC015402 | GA | Primary |
Addresses
Primary practice location
2470 Windy Hill Rd SE Ste 416
Marietta, GA 30067-8625
Mailing address
2193 Palmyra Dr SE
Marietta, GA 30067-6681
Phone (404) 944-2778
Other practice location 1
1690 Stone Village Ln NW Ste 501
Kennesaw, GA 30152-7777
Phone (470) 322-9165
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC015402 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Cafe LLC | Mental Health | Current | Accepting new patients |
Locations
2470 Windy Hill Rd SE
Ste 416
Marietta, GA 30067
Phone (347) 395-2185
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Marietta, GA
- NPI 1386538122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1497574644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2193 PALMYRA DR SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300676681",
"telephone_number": "404-944-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2470 WINDY HILL RD SE STE 416",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678625",
"telephone_number": "470-322-9165"
}
],
"practiceLocations": [
{
"address_1": "1690 Stone Village Ln NW Ste 501",
"address_purpose": "LOCATION",
"city": "Kennesaw",
"state": "GA",
"postal_code": "301527777",
"country_code": "US",
"telephone_number": "470-322-9165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMINZADEH",
"first_name": "CAMELLIA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-05",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC015402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.