Individual provider Active NPI

Robyn N Minefee, LPC

  • Mental Health Counselor
  • Mableton, GA
National Provider Identifier
1851877369
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC011375 Issued in GA
Practice address
5000 Henson Dr SW
Mableton, GA 30126-2050
Phone
(678) 349-4318
NPI assigned
Jul 17, 2018
Last updated
Dec 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APC006196 GA
Mental Health Counselor 101YM0800X LPC011375 GA Primary
Professional Counselor 101YP2500X APC006196 GA

Addresses

Primary practice location

5000 Henson Dr SW
Mableton, GA 30126-2050

Mailing address

1025 Veterans Memorial Hwy SE Ste 660
#3011
Mableton, GA 30126-7711
Phone (678) 349-4318

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
I20260409003658 GA Practitioner - Mental Health Counselor 0143709469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1025 Veterans Memorial Hwy SE 660
Suite 3011
Mableton, GA 30126-7711

4760 Austell Rd
Suite 5
Austell, GA 30106-2007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APC006196GAMDMental Health Counselor
LPC011375GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mind and Body Therapy Ga, LLC Mental Health Current Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Resilient Minds Collective LLC Mental Health Current Accepting new patients

Locations

4760 Austell Rd
Ste 5
Austell, GA 30106
Phone (404) 595-8722

1025 Veterans Memorial Hwy SE
Ste 660
Mableton, GA 30126
Phone (404) 844-3821

Interoperability endpoints

  • Direct secure messaging: robynminefee@tdh.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1851877369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 VETERANS MEMORIAL HWY SE STE 660",
            "address_2": "#3011",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267711",
            "telephone_number": "678-349-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 HENSON DR SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262050",
            "telephone_number": "678-349-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINEFEE",
        "first_name": "ROBYN",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC006196",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC011375",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC006196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

Verify at the official NPI Registry.