Katrina Nicole Maddox, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC016950 Issued in GA

Practice address

2500 Dallas Hwy SW Ste 202-1033
Marietta, GA 30064-2567

Phone

(404) 295-3757

NPI assigned

Mar 5, 2014

Last updated

Jun 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Njsem Enterprises LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marietta, GA
  • NPI 1861328791
  Authorized official Same address or phone

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1699191346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 IRELAND LN",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320073",
            "telephone_number": "404-295-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DALLAS HWY SW STE 202-1033",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642567",
            "telephone_number": "404-295-3757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "743 Ireland Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "GA",
            "postal_code": "301320073",
            "country_code": "US",
            "telephone_number": "404-295-3757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "KATRINA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-05",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC016950",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "20131571309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sesily Brooke Macon, PHARM. D.
• Macwan Eye Group LLC
• Rima Macwan, O.D.
• Manogna Maddineni, M.D
• Kaitlin Maddox, RBT
• Lavita D Maddox
• Renee R Maddux, PT
• Lori Maenpaa, M.A., CCC-SLP
• Anushka Magal, MD
• Magic Feather Mental Health LLC

• Mental Health Counselor in Marietta, GA
• Providers in Marietta, 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 Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.