Individual provider Active NPI

Camellia Aminzadeh, LPC

  • Mental Health Counselor
  • Marietta, GA
National Provider Identifier
1497574644
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC015402 Issued in GA
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

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LPC015402GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Cafe LLC Mental Health CurrentSince Jun 8, 2025 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.

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.

Verify at the official NPI Registry.