Individual provider Active NPI

Alexis Wright, MFT

  • Marriage & Family Therapist
  • Kennesaw, GA
National Provider Identifier
1790305118
Registry record updated Aug 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT002048 Issued in GA
Practice address
1301 Shiloh Rd NW Ste 710
Kennesaw, GA 30144-7157
Phone
(404) 706-6931
NPI assigned
Apr 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT002048 GA Primary

Addresses

Primary practice location

1301 Shiloh Rd NW Ste 710
Kennesaw, GA 30144-7157

Mailing address

1301 Shiloh Rd NW Ste 710
Kennesaw, GA 30144-7157
Phone (404) 514-0319

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

State licenses

LicenseStateTypeSpecialty
MFT002048GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Indigo Therapy and Wellness Mental Health Current Accepting new patients
The Institute for Relationship Wellness & Sexual Health PC Mental Health PastSince May 1, 2020 Accepting new patients
Ellis Evaluation Services, LLC PastSince May 1, 2020 Accepting new patients

Locations

1301 Shiloh Rd NW
Ste 710
Kennesaw, GA 30144
Phone (404) 242-8692

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": "1587859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756512000000",
    "number": "1790305118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 710",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447157",
            "telephone_number": "404-514-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 710",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447157",
            "telephone_number": "404-706-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "ALEXIS",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-26",
        "last_updated": "2025-08-30",
        "certification_date": "2025-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT002048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2025; 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.