Individual provider Active NPI

Maria Antonieta Zayas, ED.D.

  • Counseling Psychologist
  • Dahlonega, GA
National Provider Identifier
1972846608
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY003103 Issued in GA
Practice address
63 Pecks Rd
Dahlonega, GA 30533-8037
Phone
(706) 429-3904
NPI assigned
Apr 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1961 NC
Counseling Psychologist 103TC1900X 1961 NC
Counseling Psychologist 103TC1900X PSY003103 GA Primary

Addresses

Primary practice location

63 Pecks Rd
Dahlonega, GA 30533-8037

Mailing address

63 Pecks Rd
Dahlonega, GA 30533-8037
Phone (706) 429-3904

Other practice location 1

725 Jackson Rd
Salisbury, NC 28146-0332
Phone (706) 429-3904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130522000339 GA Practitioner - Psychologist Billing Independently 8426296914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Focus Forward Counseling and Consulting, IncGroup PAC ID 9436325727, 7 clinicians

Practice addresses (Care Compare)

5975 Pkwy N Blvd
Suite 300D
Cumming, GA 30040-1226
Phone (404) 388-3909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1961NCMDAddiction (Substance Use Disorder) Counselor
PSY003103GAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Forward Counseling and Consulting, Inc CurrentSince Oct 6, 2017 Accepting new patients

Locations

5975 Parkway North Blvd
Ste 300D
Cumming, GA 30040
Phone (404) 388-3909

5975 Parkway North Blvd
Ste D
Cumming, GA 30040
Phone (404) 388-3909

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": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1972846608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PECKS RD",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305338037",
            "telephone_number": "706-429-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 PECKS RD",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305338037",
            "telephone_number": "706-429-3904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Jackson Rd",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281460332",
            "country_code": "US",
            "telephone_number": "706-429-3904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAYAS",
        "first_name": "MARIA",
        "middle_name": "ANTONIETA",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1961",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": "1961",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "PSY003103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dahlonega, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.