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ENRICKA VICTORIA MADDOX LPC
NPI 1073281804
Counselor - Professional in Conyers, GA

Active since September 07, 2021PECOS Enrolled
1500 KLONDIKE RD SW STE A103, CONYERS, GA 30094(770) 609-1936 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Enricka Victoria Maddox Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENRICKA VICTORIA MADDOX LPC (NPI 1073281804) is an individual professional provider in Conyers, Georgia, licensed in Georgia (LPC008094) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oxford.

NPPES Registry Identity

NPI1073281804
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameENRICKA VICTORIA MADDOXCredential: LPC
Location Address1500 KLONDIKE RD SW STE A103Conyers, GA 30094-5115
Mailing Address45 Tabor TrceOxford, GA 30054-4049 · (404) 453-3680
Phone(770) 609-1936
Sole ProprietorYes
Enumeration DateSeptember 7, 2021
NPPES CertifiedSeptember 1, 2021
✔ NPI 1073281804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC008094
1500 KLONDIKE RD SW STE A103, Conyers, GA 30094
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Secondary Practice Location 1

Location 145 Tabor TrceOxford, GA 30054-4049 · Phone (404) 453-3680

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Enricka Victoria Maddox Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Enricka Maddox's NPI number?

The NPI number for Enricka Maddox is 1073281804. It was assigned to this individual provider in the NPPES registry on September 7, 2021.

Where is Enricka Maddox located?

Enricka Maddox practices at 1500 Klondike Rd SW Ste A103, Conyers, GA 30094. The listed phone number is (770) 609-1936.

What is Enricka Maddox's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Enricka Maddox enrolled in Medicare?

Yes. Enricka Maddox is registered in the Medicare PECOS enrollment system.

What insurance does Enricka Maddox accept?

Health plans from CareSource list Enricka Maddox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Enricka Maddox was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.