Active NPI
Essential Mental and Healthcare Services LLC
- Psychiatric/Mental Health Nurse Practitioner
- Marietta, GA
National Provider Identifier
1568057487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- ESSENTIAL MENTAL AND HEALTHCARE SERVICES LLC
- Practice address
- 3008 Edgefield Dr SW
Marietta, GA 30008-7665 - Phone
- (678) 497-5145
- NPI assigned
- Mar 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mirianda Ndaptso, FNP
- Title
- Ceo
- Phone
- (678) 497-5145
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
3008 Edgefield Dr SW
Marietta, GA 30008-7665
Mailing address
265 S Elm St
Commerce, GA 30529-3294
Phone (678) 497-5145
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Direct | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
265 S Elm St
Commerce, GA 30529
Phone (678) 497-5145
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Marietta, GA
- NPI 1205429941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746489600000",
"number": "1568057487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 S ELM ST",
"city": "COMMERCE",
"state": "GA",
"postal_code": "305293294",
"telephone_number": "678-497-5145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3008 EDGEFIELD DR SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300087665",
"telephone_number": "678-497-5145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSENTIAL MENTAL AND HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-02",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A",
"authorized_official_last_name": "NDAPTSO",
"authorized_official_first_name": "MIRIANDA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-497-5145",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Direct",
"affiliation": "N",
"endpointDescription": "Mail address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct",
"address_1": "3008 Edgefield Dr SW",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300087665",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.