Active NPI
Destiny Redmond, LPC
- Mental Health Counselor
- Atlanta, GA
National Provider Identifier
1801584610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC013826
- Practice address
- 2302 Parklake Dr NE Ste 655
Atlanta, GA 30345-3032 - Phone
- (470) 508-7357
- NPI assigned
- Apr 28, 2023
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC013826 | GA | Primary |
Addresses
Primary practice location
2302 Parklake Dr NE Ste 655
Atlanta, GA 30345-3032
Mailing address
1921 Valencia Rd
Decatur, GA 30032-5273
Phone (404) 884-0758
Other practice location 1
1 W Court Sq Ste 750
Decatur, GA 30030-2545
Phone (470) 508-7357
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC013826 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
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": "1682640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1801584610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 VALENCIA RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300325273",
"telephone_number": "404-884-0758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 PARKLAKE DR NE STE 655",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303453032",
"telephone_number": "470-508-7357"
}
],
"practiceLocations": [
{
"address_1": "1 W Court Sq Ste 750",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300302545",
"country_code": "US",
"telephone_number": "470-508-7357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDMOND",
"first_name": "DESTINY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-28",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC013826",
"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 Apr 28, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.