Active NPI
Olivia Dehavilland Stewart, LPC
- Mental Health Counselor
- Jonesboro, GA
National Provider Identifier
1942225974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC 004134
- Practice address
- 137 W Mill St Ste F
Jonesboro, GA 30236-3572 - Phone
- (770) 835-5527
- Fax
- (678) 545-2390
- NPI assigned
- Jul 12, 2006
- Last updated
- Mar 21, 2025
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Mental Health Counselor | 101YM0800X | LPC 004134 | GA | Primary |
Addresses
Primary practice location
137 W Mill St Ste F
Jonesboro, GA 30236-3572
Mailing address
1268 Grindenwald Dr
Jonesboro, GA 30238-8037
Phone (770) 912-3634
Other practice location 1
1268 Grindenwald Dr
Jonesboro, GA 30238-8037
Phone (770) 912-3634
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 477163794A | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 004134 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K & K Counseling Solutions LLC | Mental Health | Current | Accepting new patients |
Locations
137 W Mill St
Ste F
Jonesboro, GA 30236
Phone (770) 835-5527
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Jonesboro, GA
- NPI 1538823273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1942225974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1268 GRINDENWALD DR",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302388037",
"telephone_number": "770-912-3634",
"fax_number": "678-610-1633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 W MILL ST STE F",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302363572",
"telephone_number": "770-835-5527",
"fax_number": "678-545-2390"
}
],
"practiceLocations": [
{
"address_1": "1268 Grindenwald Dr",
"address_purpose": "LOCATION",
"city": "Jonesboro",
"state": "GA",
"postal_code": "302388037",
"country_code": "US",
"telephone_number": "770-912-3634",
"fax_number": "678-610-1633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "OLIVIA",
"middle_name": "DEHAVILLAND",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC 004134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "477163794A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
- Steele Creek Wellness Center
- Stepping Through LLC
- Stepping With Integrity Outpatient Services (Stepping With Integrity Outpatient Care Center LLC)
- Michael J. Sterling, D.C.
- Karen Reneau Stewart, MD
- Antionette Stiggers
- Brenda Lee Stinson, LPC
- Sandra E Stoney
- Shantise McCall Story, O.D.
- Ashley Renee Stowers, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.