Keisha Latonya Buchanan, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC005425 Issued in GA

Practice address

135 Bradford SQ Ste a
Fayetteville, GA 30215-1902

Phone

(678) 489-8072

Fax

(404) 537-1045

NPI assigned

Feb 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1962671131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 BRADFORD SQ STE A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302151902",
            "telephone_number": "678-489-8072",
            "fax_number": "404-537-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BRADFORD SQ STE A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302151902",
            "telephone_number": "678-489-8072",
            "fax_number": "404-537-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "KEISHA",
        "middle_name": "LATONYA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005425",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC001712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Perry Brubaker, DPT
• Joy Brumbeloe, CNM
• Ian Bradley Brunet, D.C., BCAO
• Charlene Bryant, RBT
• K. Bryant
• Joretta A Buckner, NP
• Benjamin Tyler Bullard
• Tanya Kennedy Bunting
• Courtney Burch, FNP
• Nykia Sherie Burke-Bray, M.D.

• Professional Counselor in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.