Individual provider Active NPI

Diamon Caldwell

  • Mental Health Counselor
  • Alpharetta, GA
National Provider Identifier
1720788920
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC008301 Issued in GA
Practice address
3060 Kimball Bridge Rd # 110
Alpharetta, GA 30022-1404
Phone
(404) 388-3909
NPI assigned
Mar 6, 2023
Last updated
Mar 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APC008301 GA Primary

Addresses

Primary practice location

3060 Kimball Bridge Rd # 110
Alpharetta, GA 30022-1404

Mailing address

1037 Lynn Marie Way
Spartanburg, SC 29301-3521
Phone (864) 621-6587

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
I20250716000559 GA Practitioner - Mental Health Counselor 6204341431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APC008301GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dekalb Community Service Board CurrentSince Jun 9, 2025 Accepting new patients

Locations

3807 Clairmont Rd
Chamblee, GA 30341
Phone (770) 454-1144

445 Winn Way
Decatur, GA 30030
Phone (404) 294-3745

445 Winn Way
Fl 2
Decatur, GA 30030
Phone (404) 294-3836

445 Winn Way
Fl 4
Decatur, GA 30030
Phone (404) 508-7963

Organizations & group practices 1

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": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1720788920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 LYNN MARIE WAY",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293013521",
            "telephone_number": "864-621-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 KIMBALL BRIDGE RD # 110",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221404",
            "telephone_number": "404-388-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "DIAMON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC008301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.