DR. AISHIA LEVERETT (NPI# 1083040810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083040810 |
Entity Type | Individual |
Full Name | DR. AISHIA LEVERETT |
Credential | LPC,CAC II, NCC, SAP |
Practice Address |
4145 Columbia Rd Martinez GA 30907-5400 |
Mailing Address |
607 Caldwell Pl Augusta GA 30909-5760 |
Practice Telephone | 7068697373 |
Practice Fax Number | 7068697380 |
Mailing Telephone | 7062316261 |
Mailing Fax Number | 7068697380 |
Enumeration Date | 2013-09-25 |
Last Update Date | 2016-12-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | CAC II | SC | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3076-R | GA | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAC II | SC | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
LPC008747 | GA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | AD01AK | 05 | |
SC | TAX ID | 570569761 | 01 |
Street Address |
4145 COLUMBIA RD |
City | MARTINEZ |
State | GA |
Zip Code | 30907-5400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578626750 | Chidale Marie Blackwood | Counselor | 4145 Columbia Rd, Martinez, GA 30907-5400 | 2006-12-18 |
1437784501 | Angela Renee Mcgaha Kersey | Counselor | 4145 Columbia Rd, Martinez, GA 30907-5400 | 2020-03-09 |
1811548803 | Kimberley Yvonne Banta | Counselor | 4145 Columbia Rd, Martinez, GA 30907-5400 | 2019-09-22 |
1952767543 | Vanessa H Anderson | Counselor | 4145 Columbia Rd, Martinez, GA 30907-5400 | 2016-01-12 |
1902278443 | Jerry Smith | Social Worker | 4145 Columbia Rd, Martinez, GA 30907-5400 | 2015-10-23 |
1609014802 | Phillip Daniel Stockard | Counselor | 4145 Columbia Rd, Martinez, GA 30907-5400 | 2009-01-26 |
1164637773 | Georgia Family Crisis Solutions | Counselor | 4145 Columbia Rd, Martinez, GA 30907-5400 | 2007-05-14 |
1497805758 | Cheryl Ann Carswell | Counselor | 4145 Columbia Rd, Martinez, GA 30907-5400 | 2007-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
Find all providers in zip 30907 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003466798 | Jill Andrea Ballesteros | Counselor | 4400 Columbia Rd Ste 102, Martinez, GA 30907-4551 | 2019-09-16 |
1285021998 | Zondra Rashell Mele | Counselor | 145 Caymen Ct, Martinez, GA 30907-1423 | 2015-04-20 |
1912286089 | Joy Welcker | Counselor | 302 Baston Rd., Martinez, GA 30907 | 2011-08-08 |
1003140435 | Genette Mary Phelps | Counselor | 4512 Jessie Rd, Martinez, GA 30907-9759 | 2009-10-02 |
1285811570 | Martha Delgado | Counselor | 3755 Alhambra Ave, Suite 9, Martinez, CA 94553-3833 | 2008-01-29 |
1003018847 | Jennifer Jean Tuipulotu | Counselor | 202 Glacier Dr Fl 2, Martinez, CA 94553-4826 | 2007-06-04 |
1245443399 | New Connections Behavioral Health Servives | Counselor | 30 Muir Rd, Martinez, CA 94553-4601 | 2007-05-07 |
1467429126 | Buddy D. Sanders | Counselor | 119 Davis Road, Suite 1- B, Martinez, GA 30907-0200 | 2006-03-02 |
1205459179 | Gina Christine Drace | Counselor | 904 Mellus St, Martinez, CA 94553-1745 | 2020-05-26 |
1013459676 | Pierian Spring Counseling LLC | Counselor | 4210 Columbia Rd, Suite 5d, Martinez, GA 30907-0401 | 2016-11-14 |
Find all providers in MARTINEZ |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.