Individual provider Active NPI

Cieria Swain

  • Professional Counselor
  • Lithonia, GA
National Provider Identifier
1578158481
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC012873 Issued in GA
Practice address
5667 Lake Trce
Lithonia, GA 30058-1813
Phone
(404) 338-0710
NPI assigned
Mar 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Professional Counselor 101YP2500X LPC012873 GA Primary

Addresses

Primary practice location

5667 Lake Trce
Lithonia, GA 30058-1813

Mailing address

PO Box 483
Clarkston, GA 30021-0483
Phone (404) 338-0710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250203002297 FL Practitioner - Mental Health Counselor 3678003860 Reassigns benefits to 1 organization
I20250205002712 GA Practitioner - Mental Health Counselor 3678003860 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Newfound Peace CurrentSince Jan 8, 2023 Accepting new patients
Thriving Lane Single Specialty CurrentSince Jan 20, 2025 Accepting new patients
Brave Health Medical Group PA Mental Health CurrentSince Mar 1, 2025 Accepting new patients
Marvin Behavioral Health Ma PC Mental Health Past Accepting new patients

Locations

4933 Tamiami Trl N
Ste 200
Naples, FL 34103
Phone (239) 272-9157

200 2nd Ave S
St Petersburg, FL 33701
Phone (727) 465-8515

2801 Buford Hwy NE
Ste T10
Brookhaven, GA 30329
Phone (404) 397-8302

Organizations & group practices 4

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": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1578158481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 483",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300210483",
            "telephone_number": "404-338-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5667 LAKE TRCE",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300581813",
            "telephone_number": "404-338-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAIN",
        "first_name": "CIERIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC012873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

Verify at the official NPI Registry.