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DR. KENYOTTA HANNAH LPC
NPI 1649405572
Counselor - Professional in East Point, GA

Active since May 21, 2009PECOS Enrolled
1514 CLEVELAND AVENUE, EAST POINT, GA 30344(404) 964-0906(877) 268-1293 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2026, Jun 3, 2020 (2 updates tracked since 2020).

About Dr. Kenyotta Hannah Lpc NPPES

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

DR. KENYOTTA HANNAH LPC (NPI 1649405572) is an individual professional provider in East Point, Georgia, licensed in Georgia (005842) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1649405572
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. KENYOTTA HANNAHCredential: LPC
Location Address1514 CLEVELAND AVENUEEast Point, GA 30344
Mailing AddressPo Box 33Dover, GA 30424 · (404) 964-0906 · Fax (877) 268-1293
Phone(404) 964-0906
Fax(877) 268-1293
Sole ProprietorYes
Enumeration DateMay 21, 2009
Last NPPES UpdateMarch 20, 20262 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
✔ NPI 1649405572 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 · 005842
1514 CLEVELAND AVENUE, East Point, GA 30344
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Secondary Practice Location 1

Location 12826 Hillcreek DrAugusta, GA 30909-5628 · Phone (706) 210-2767

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenyotta Hannah 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNAH EXECUTIVE GROUP, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1514 CLEVELAND AVENUE
EAST POINT, GA 30344
Fulton County (404) 462-4779

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 Kenyotta Hannah's NPI number?

The NPI number for Kenyotta Hannah is 1649405572. It was assigned to this individual provider in the NPPES registry on May 21, 2009.

Where is Kenyotta Hannah located?

Kenyotta Hannah practices at 1514 Cleveland Avenue, East Point, GA 30344. The listed phone number is (404) 964-0906.

What is Kenyotta Hannah's specialty?

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

Is Kenyotta Hannah enrolled in Medicare?

Yes. Kenyotta Hannah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenyotta Hannah was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.