Active NPI
Seryna V Muhammad Wilkinson, NCC, LPC
- Professional Counselor
- Powder Springs, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC014304
- Practice address
- 3446 N Cook Rd
Powder Springs, GA 30127-1170 - Phone
- (267) 975-1245
- NPI assigned
- Dec 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 1252518 | GA | |
| Professional Counselor | 101YP2500X | LPC014304 | GA | Primary |
Addresses
Primary practice location
3446 N Cook Rd
Powder Springs, GA 30127-1170
Mailing address
3446 N Cook Rd
Powder Springs, GA 30127-1170
Phone (470) 296-3345
Other practice location 1
2551 Roswell Rd Ste 415
Marietta, GA 30062-4761
Phone (470) 296-3345
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Whitlock PL SW
Suite 101
Marietta, GA 30064-3142
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1252518 | GA | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current | Accepting new patients |
Locations
25 Whitlock Pl SW
Ste 101
Marietta, GA 30064
Phone (404) 439-9981
8800 Roswell Rd
Ste A135
Sandy Springs, GA 30350
Phone (617) 395-5806
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": "1701734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1942077581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3446 N COOK RD",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301271170",
"telephone_number": "470-296-3345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3446 N COOK RD",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301271170",
"telephone_number": "267-975-1245"
}
],
"practiceLocations": [
{
"address_1": "2551 Roswell Rd Ste 415",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300624761",
"country_code": "US",
"telephone_number": "470-296-3345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUHAMMAD WILKINSON",
"first_name": "SERYNA",
"middle_name": "V",
"credential": "NCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-05",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "GA",
"license": "1252518",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC014304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Powder Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.