Individual provider Active NPI

Lakeya Nesbit-Gaither, LPC, NCC, CPCS, MA

  • Professional Counselor
  • Stone Mountain, GA
National Provider Identifier
1881846913
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
005403 Issued in GA
Practice address
611 Lakewater Estates LN
Stone Mountain, GA 30087-4999
Phone
(404) 931-5738
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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 6655 NC
Professional Counselor 101YP2500X 005403 GA Primary

Addresses

Primary practice location

611 Lakewater Estates LN
Stone Mountain, GA 30087-4999

Mailing address

611 Lakewater Estates LN
Stone Mountain, GA 30087-4999
Phone (404) 931-5738

Other identifiers 1

IdentifierTypeStateIssuer
003182020BMedicaidGA

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
I20240215001075 GA Practitioner - Mental Health Counselor 0749624013 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
005403GAMDProfessional Counselor
6655NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
A Better Way Health Care Services, LLC Ga CurrentSince Oct 1, 2024 Accepting new patients

Locations

1745 Phoenix Blvd
Ste 305
College Park, GA 30349
Phone (470) 619-0770

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1881846913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 LAKEWATER ESTATES LN",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300874999",
            "telephone_number": "404-931-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 LAKEWATER ESTATES LN",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300874999",
            "telephone_number": "404-931-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESBIT-GAITHER",
        "first_name": "LAKEYA",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC, CPCS, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6655",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "005403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003182020B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

Verify at the official NPI Registry.