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MADISON GROVE
NPI 1861344020
Counselor - Mental Health in Tucker, GA

Active since February 11, 2026
3754 LAVISTA RD, TUCKER, GA 30084(678) 983-4199 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Madison Grove NPPES

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

MADISON GROVE (NPI 1861344020) is an individual mental health provider in Tucker, Georgia, licensed in Georgia (LPC015835) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1861344020
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMADISON GROVE
Location Address3754 LAVISTA RDTucker, GA 30084-5626
Mailing Address2810 Elderberry LnCumming, GA 30040-7181 · (678) 983-4199
Phone(678) 983-4199
Sole ProprietorYes
Enumeration DateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
✔ NPI 1861344020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · LPC015835
3754 LAVISTA RD, Tucker, GA 30084
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. JAMES YON KIM DMD
Dentist (General Practice)
3754 LAVISTA RD, SUITE 300
TUCKER, GA 30084
Dekalb County (404) 728-1171
JUSTIN PAULUS
Counselor (Mental Health)
3754 LAVISTA RD
TUCKER, GA 30084
Dekalb County (740) 479-1479

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 Madison Grove's NPI number?

The NPI number for Madison Grove is 1861344020. It was assigned to this individual provider in the NPPES registry on February 11, 2026.

Where is Madison Grove located?

Madison Grove practices at 3754 Lavista Rd, Tucker, GA 30084. The listed phone number is (678) 983-4199.

What is Madison Grove's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Madison Grove was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.