Individual provider Active NPI

Kenyotta Hannah, LPC

  • Professional Counselor
  • East Point, GA
National Provider Identifier
1649405572
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
005842 Issued in GA
Practice address
1514 Cleveland Avenue
East Point, GA 30344
Phone
(404) 964-0906
Fax
(877) 268-1293
NPI assigned
May 21, 2009
Last updated
Mar 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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 005842 GA Primary

Addresses

Primary practice location

1514 Cleveland Avenue
East Point, GA 30344

Mailing address

PO Box 33
Dover, GA 30424
Phone (404) 964-0906

Other practice location 1

2826 Hillcreek Dr
Augusta, GA 30909-5628
Phone (706) 210-2767

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
I20260624001910 GA Practitioner - Mental Health Counselor 4981177656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

535 Effingham Hwy
Sylvania, GA 30467-7726

535 Mack Ave
Kingsley, MI 49649-9220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Awakening Autism Center CurrentSince Nov 21, 2021 Accepting new patients
Ba Group LLC Professional Current Accepting new patients
Hannah Executive Group, LLC Professional CurrentSince Jun 7, 2020 Accepting new patients

Locations

1514 Cleveland Ave
East Point, GA 30344
Phone (404) 964-0906

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1649405572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33",
            "city": "DOVER",
            "state": "GA",
            "postal_code": "30424",
            "telephone_number": "404-964-0906",
            "fax_number": "877-268-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 CLEVELAND AVENUE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "30344",
            "telephone_number": "404-964-0906",
            "fax_number": "877-268-1293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2826 Hillcreek Dr",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309095628",
            "country_code": "US",
            "telephone_number": "706-210-2767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNAH",
        "first_name": "KENYOTTA",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-21",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "005842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

Verify at the official NPI Registry.