Individual provider Active NPI

Marvanisha Y Washington

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1942821418
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC014958 Issued in GA
Practice address
1903 Phoenix Blvd Ste 200
Atlanta, GA 30349-5700
Phone
(678) 335-9010
NPI assigned
May 6, 2020
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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 LPC014958 GA Primary

Addresses

Primary practice location

1903 Phoenix Blvd Ste 200
Atlanta, GA 30349-5700

Mailing address

1903 Phoenix Blvd Ste 200
Atlanta, GA 30349-5700
Phone (832) 638-2968

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Atlanta Health Information Exchange (HIE)

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
I20241016004272 GA Practitioner - Mental Health Counselor 2668904566 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher Dennis MD PLLCGroup PAC ID 7416254990, 72 clinicians
Pinnacle Behavioral HealthGroup PAC ID 8921490442, 5 clinicians

Practice addresses (Care Compare)

11340 Lakefield Dr
Suite 200
Johns Creek, GA 30097-2456
Phone (888) 515-3834

4864 Jimmy Carter Blvd
Suite 205
Norcross, GA 30093-3704
Phone (770) 676-5763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Jan 27, 2026 Accepting new patients
Christopher Dennis MD PLLC CurrentSince Nov 24, 2025 Accepting new patients
Pinnacle Behavioral Health CurrentSince Jul 19, 2024 Accepting new patients
Access Mental Health Agency, LLC CurrentSince Dec 5, 2023 Accepting new patients

Locations

1903 Phoenix Blvd
Ste 200
College Park, GA 30349
Phone (678) 335-9010

1420 Milstead Rd NE
Conyers, GA 30012
Phone (770) 483-3902

11340 Lakefield Dr
Ste 200
Johns Creek, GA 30097
Phone (678) 407-2159

4864 Jimmy Carter Blvd
Ste 205
Norcross, GA 30093
Phone (770) 676-5763

Organizations & group practices 4

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": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1942821418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 PHOENIX BLVD STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495700",
            "telephone_number": "832-638-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 PHOENIX BLVD STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495700",
            "telephone_number": "678-335-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "MARVANISHA",
        "middle_name": "Y",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC014958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Atlanta",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Atlanta",
            "address_1": "1903 Phoenix Blvd Ste 200",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303495700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.