Individual provider Active NPI

Christina Maria Wolverton, MA, LMFT, LPC

  • Marriage & Family Therapist
  • Atlanta, GA
National Provider Identifier
1801242219
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001645 Issued in GA
Practice address
814 Juniper St NE Ste 202
Atlanta, GA 30308-1300
Phone
(470) 622-1536
NPI assigned
May 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC011261 GA
Marriage & Family Therapist 106H00000X MFT001645 GA Primary

Addresses

Primary practice location

814 Juniper St NE Ste 202
Atlanta, GA 30308-1300

Mailing address

814 Juniper St NE Ste 202
Atlanta, GA 30308-1300
Phone (470) 622-1536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2025 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC011261GAMDProfessional Counselor
MFT001645GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Summit Counseling Center, Inc. PastSince Feb 4, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1801242219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 JUNIPER ST NE STE 202",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081300",
            "telephone_number": "470-622-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 JUNIPER ST NE STE 202",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081300",
            "telephone_number": "470-622-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLVERTON",
        "first_name": "CHRISTINA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "MA, LMFT, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011261",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.