Individual provider Active NPI

Ashunte Denise Claybrooks, LPC

  • Professional Counselor
  • Cartersville, GA
National Provider Identifier
1922272244
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
005222 Issued in GA
Practice address
17 Felton PL Ste D
Cartersville, GA 30120-2153
Phone
(770) 607-7320
NPI assigned
Apr 17, 2008
Last updated
Apr 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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 005222 GA Primary

Addresses

Primary practice location

17 Felton PL Ste D
Cartersville, GA 30120-2153

Mailing address

3894 Cherry Ridge Blvd
Decatur, GA 30034
Phone (216) 338-5312

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
I20240130001731 GA Practitioner - Mental Health Counselor 2860851052 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph's Mercy Care Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Saint Joseph's Mercy Care Services Inc CurrentSince Jan 1, 2024 Accepting new patients
Saint Joseph's Mercy Care Services Inc Current Accepting new patients
Saint Joseph's Mercy Care Services, Inc. Current Accepting new patients
Saint Joseph's Mercy Care Services, Inc. Current Accepting new patients

Locations

1300 Joseph E Boone Blvd NW
Atlanta, GA 30314
Phone (404) 952-1201

275 Pryor St SW
Atlanta, GA 30303
Phone (678) 843-8840

424 Decatur St SE
Atlanta, GA 30312
Phone (678) 843-8500

5134 Peachtree Rd
Chamblee, GA 30341
Phone (678) 872-7100

Organizations & group practices 5

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": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1922272244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3894 CHERRY RIDGE BLVD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30034",
            "telephone_number": "216-338-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FELTON PL STE D",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202153",
            "telephone_number": "770-607-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYBROOKS",
        "first_name": "ASHUNTE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "005222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.