Individual provider Active NPI

Danielle Cesar

  • Professional Counselor
  • Loganville, GA
National Provider Identifier
1831785310
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC012872 Issued in GA
Practice address
318 Shadowbrooke Cir
Loganville, GA 30052-8248
Phone
(470) 641-1667
NPI assigned
Dec 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X
Professional Counselor 101YP2500X LPC012872 GA Primary

Addresses

Primary practice location

318 Shadowbrooke Cir
Loganville, GA 30052-8248

Mailing address

318 Shadowbrooke Cir
Loganville, GA 30052-8248
Phone (240) 480-8548

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240404000103 GA Practitioner - Mental Health Counselor 7113365586 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC012872GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince May 21, 2024 Accepting new patients
Thrive Counseling LLC CurrentSince Mar 3, 2024 Accepting new patients
The Potter'S House Family and Children Treatment Center PastSince Dec 1, 2020 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

2089 Teron Trce
Ste 220
Dacula, GA 30019
Phone (470) 443-4439

8800 Roswell Rd
Ste A135
Sandy Springs, GA 30350
Phone (617) 395-5806

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": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1831785310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 SHADOWBROOKE CIR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528248",
            "telephone_number": "240-480-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 SHADOWBROOKE CIR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528248",
            "telephone_number": "470-641-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESAR",
        "first_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC012872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

Verify at the official NPI Registry.