Active NPI
Deidra L Mays, LPC
- Professional Counselor
- Snellville, GA
National Provider Identifier
1760417539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC004421
- Practice address
- 2330 Scenic Hwy S
Snellville, GA 30078-3115 - Phone
- (678) 852-0265
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2995 | LA | |
| Marriage & Family Therapist | 106H00000X | 989 | LA | |
| Professional Counselor | 101YP2500X | LPC004421 | GA | Primary |
Addresses
Primary practice location
2330 Scenic Hwy S
Snellville, GA 30078-3115
Mailing address
PO Box 391772
Snellville, GA 30039-0030
Phone (678) 852-0265
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
135 Pinelawn Rd
Suite 204N
Melville, NY 11747-3163
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC004421 | GA | MD | Professional Counselor |
| 2995 | LA | MD | Professional Counselor |
| 989 | LA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
| Wellqor Psychological Services, PC | Current | Accepting new patients | |
| DM Counseling, LLC | Past | Accepting new patients |
Locations
3355 Lenox Rd NE
Ste 750
Atlanta, GA 30326
Phone (470) 682-3536
Interoperability endpoints
- deidramays@tdh.allscriptsdirect.net
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.
-
- Community/Behavioral Health Agency
- Snellville, GA
- NPI 1669711610
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1760417539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 391772",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300390030",
"telephone_number": "678-852-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 SCENIC HWY S",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300783115",
"telephone_number": "678-852-0265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYS",
"first_name": "DEIDRA",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "2995",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "989",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC004421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.