Individual provider Active NPI

Seryna V Muhammad Wilkinson, NCC, LPC

  • Professional Counselor
  • Powder Springs, GA
National Provider Identifier
1942077581
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC014304 Issued in GA
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

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240708001429 GA Practitioner - Mental Health Counselor 3274077854 Reassigns benefits to 1 organization

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
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

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

LicenseStateTypeSpecialty
1252518GAMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince May 29, 2024 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

Verify at the official NPI Registry.