Individual provider Active NPI

Takieyra Jashai Stevens

  • Counselor
  • Atlanta, GA
National Provider Identifier
1790143337
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
5887 Glenridge Dr Ste 230
Atlanta, GA 30328-9929
Phone
(404) 390-4098
Fax
(877) 427-2724
NPI assigned
Feb 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X
Counselor 101Y00000X Primary

Addresses

Primary practice location

5887 Glenridge Dr Ste 230
Atlanta, GA 30328-9929

Mailing address

227 Sandy Springs PL Ste D270
Atlanta, GA 30328-5918
Phone (404) 390-4098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Cpai Group, Inc Counselor CurrentSince May 7, 2023 Accepting new patients

Locations

5887 Glenridge Dr
Ste 230
Sandy Springs, GA 30328
Phone (404) 594-1393

227 Sandy Springs Pl
Ste D270
Sandy Springs, GA 30328

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1790143337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 SANDY SPRINGS PL STE D270",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285918",
            "telephone_number": "404-390-4098",
            "fax_number": "877-427-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5887 GLENRIDGE DR STE 230",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303289929",
            "telephone_number": "404-390-4098",
            "fax_number": "877-427-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "TAKIEYRA",
        "middle_name": "JASHAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.