Individual provider Active NPI

Neshika L Coney-Devine

  • Mental Health Counselor
  • Martinez, GA
National Provider Identifier
1992576334
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC009461 Issued in GA
Practice address
4210 Columbia Rd Ste 11B
Martinez, GA 30907-0443
Phone
(706) 364-6576
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X APC009461 GA Primary

Addresses

Primary practice location

4210 Columbia Rd Ste 11B
Martinez, GA 30907-0443

Mailing address

2020 Clarkston Dr
Augusta, GA 30909-0610
Phone (706) 825-1781

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

LicenseStateTypeSpecialty
APC009461GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
D. W. de Vose & Associates, LLC Mental Health CurrentSince Jan 21, 2024 Accepting new patients

Locations

4210 Columbia Rd
Ste 11B
Martinez, GA 30907
Phone (706) 364-6576

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": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1992576334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CLARKSTON DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090610",
            "telephone_number": "706-825-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 COLUMBIA RD STE 11B",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309070443",
            "telephone_number": "706-364-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONEY-DEVINE",
        "first_name": "NESHIKA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC009461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.