Individual provider Active NPI

Monica Maria Velez Correa

  • Counselor
  • Athens, GA
National Provider Identifier
1932819679
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
625 Highway 29 N Apt A304
Athens, GA 30601-1539
Phone
(706) 372-3332
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Counselor 101Y00000X Primary

Addresses

Primary practice location

625 Highway 29 N Apt A304
Athens, GA 30601-1539

Mailing address

625 Highway 29 N Apt A304
Athens, GA 30601-1539
Phone (706) 372-3332

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.pathwaystransitionprograms.com/ Health Information Exchange (HIE) MEDICAID GA

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

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1932819679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 HIGHWAY 29 N APT A304",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306011539",
            "telephone_number": "706-372-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 HIGHWAY 29 N APT A304",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306011539",
            "telephone_number": "706-372-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ CORREA",
        "first_name": "MONICA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.pathwaystransitionprograms.com/",
            "affiliation": "Y",
            "endpointDescription": "Social Work",
            "affiliationName": "MEDICAID GA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "120 E Trinity Pl",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300303302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.