Individual provider Active NPI

Daisy M. Herrera, LPC, CAC

  • Professional Counselor
  • Lawrenceville, GA
National Provider Identifier
1639456296
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC005927 Issued in GA
Practice address
830 Chatham Park Dr
Lawrenceville, GA 30046-6189
Phone
(678) 571-5958
NPI assigned
Nov 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC005927 GA Primary

Addresses

Primary practice location

830 Chatham Park Dr
Lawrenceville, GA 30046-6189

Mailing address

830 Chatham Park Dr
Lawrenceville, GA 30046-6189
Phone (678) 571-5958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250317000130 GA Practitioner - Mental Health Counselor 5092237388 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph'S Mercy Care Services Inc Current Accepting new patients
Saint Joseph'S Mercy Care Services, Inc. Current Accepting new patients
Saint Joseph'S Mercy Care Services, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Saint Joseph'S Mercy Care Services, Inc. CurrentSince Mar 1, 2025 Accepting new patients

Locations

1300 Joseph E Boone Blvd NW
Atlanta, GA 30314
Phone (404) 952-1201

275 Pryor St SW
Atlanta, GA 30303
Phone (678) 843-8840

424 Decatur St SE
Atlanta, GA 30312
Phone (678) 843-8500

5134 Peachtree Rd
Chamblee, GA 30341
Phone (678) 872-7100

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": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1639456296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 CHATHAM PARK DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466189",
            "telephone_number": "678-571-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 CHATHAM PARK DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466189",
            "telephone_number": "678-571-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "DAISY",
        "middle_name": "M.",
        "credential": "LPC, CAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.