Individual provider Active NPI

T.M. Robinson-Mosley, PH.D., LPC

  • Professional Counselor
  • Decatur, GA
National Provider Identifier
1871020461
Registry record updated May 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC009592 Issued in GA
Practice address
403 W Ponce de Leon Ave Ste 103
Decatur, GA 30030-2445
Phone
(470) 240-1755
NPI assigned
May 15, 2017
Last updated
May 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC009592 GA Primary

Addresses

Primary practice location

403 W Ponce de Leon Ave Ste 103
Decatur, GA 30030-2445

Mailing address

339 E College Ave Unit 424
Decatur, GA 30030-3794
Phone (251) 463-9242

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LPC009592GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1871020461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 E COLLEGE AVE UNIT 424",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303794",
            "telephone_number": "251-463-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W PONCE DE LEON AVE STE 103",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302445",
            "telephone_number": "470-240-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON-MOSLEY",
        "first_name": "T.M.",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.