Individual provider Active NPI

Adrian Simone Gaither, LPC

  • Counselor
  • Cumming, GA
National Provider Identifier
1750854709
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC012558 Issued in GA
Practice address
2100 Westshore Dr Ste 1006
Cumming, GA 30041-9277
Phone
(770) 758-2357
Fax
(770) 658-2987
NPI assigned
Jan 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC012558 GA Primary

Addresses

Primary practice location

2100 Westshore Dr Ste 1006
Cumming, GA 30041-9277

Mailing address

2100 Westshore Dr Ste 1006
Cumming, GA 30041-9277
Phone (770) 758-2357

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
I20250213003466 GA Practitioner - Mental Health Counselor 2860922200 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC012558GAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Feb 11, 2025 Accepting new patients
Positive Elevations LLC Counselor Past Accepting new patients
Odyssey Family Counseling Center Corporation PastSince Oct 14, 2020 Accepting new patients

Locations

3424 Peachtree Rd NE
Ste 2200
Atlanta, GA 30326
Phone (404) 436-2563

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/odysseycounseling/r4/

Organizations & group practices 3

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": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1750854709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WESTSHORE DR STE 1006",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419277",
            "telephone_number": "770-758-2357",
            "fax_number": "770-658-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WESTSHORE DR STE 1006",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419277",
            "telephone_number": "770-758-2357",
            "fax_number": "770-658-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAITHER",
        "first_name": "ADRIAN",
        "middle_name": "SIMONE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC012558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.