Active NPI
Erin Davis Wisehart, LMFT
- Marriage & Family Therapist
- Fayetteville, GA
National Provider Identifier
1790922565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT001108
- Practice address
- 210 Trilith Pkwy
Fayetteville, GA 30214-4616 - Phone
- (706) 315-6689
- NPI assigned
- Jan 14, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT001108 | GA | Primary |
Addresses
Primary practice location
210 Trilith Pkwy
Fayetteville, GA 30214-4616
Mailing address
2395 Highway 54
Moreland, GA 30259-2804
Phone (706) 315-6689
Other practice location 1
7474 Old Moon Rd
Columbus, GA 31909-1744
Phone (706) 322-2204
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFT001108 | GA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse Counseling PC | Past | Accepting new patients |
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.
-
- Professional Counselor
- Newnan, GA
- NPI 1205961232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1790922565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2395 HIGHWAY 54",
"city": "MORELAND",
"state": "GA",
"postal_code": "302592804",
"telephone_number": "706-315-6689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 TRILITH PKWY",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144616",
"telephone_number": "706-315-6689"
}
],
"practiceLocations": [
{
"address_1": "7474 Old Moon Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "GA",
"postal_code": "319091744",
"country_code": "US",
"telephone_number": "706-322-2204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WISEHART",
"first_name": "ERIN",
"middle_name": "DAVIS",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-14",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT001108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.