Maria Miller Comsudes, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1385 Issued in GA

Practice address

1690 Stone Village LN NW Ste 622
Kennesaw, GA 30152-7777

Phone

(678) 404-1937

NPI assigned

Nov 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1649096546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 ACWORTH DUE WEST RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523904",
            "telephone_number": "404-274-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 STONE VILLAGE LN NW STE 622",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527777",
            "telephone_number": "678-404-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMSUDES",
        "first_name": "MARIA",
        "middle_name": "MILLER",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "1385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.