A HEALING MIND PSYCHOTHERAPY
NPI 1912791674
Clinic/Center - Adult Mental Health in Canton, GA
About A Healing Mind Psychotherapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
A HEALING MIND PSYCHOTHERAPY (NPI 1912791674) is a healthcare organization registered as an adult mental health in Canton, Georgia and active in the NPI registry since April 2025. The organization lists John Adegboye, Psychotherapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
A Healing Mind Psychotherapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to A Healing Mind Psychotherapy, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 A Healing Mind Psychotherapy's NPI number?
The NPI number for A Healing Mind Psychotherapy is 1912791674. It was assigned to this organization in the NPPES registry on April 8, 2025.
Where is A Healing Mind Psychotherapy located?
A Healing Mind Psychotherapy is located at 106 Belmont Dr, Canton, GA 30115. The listed phone number is (404) 593-9348.
What is A Healing Mind Psychotherapy's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is A Healing Mind Psychotherapy enrolled in Medicare?
Yes. A Healing Mind Psychotherapy is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through A Healing Mind Psychotherapy?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to A Healing Mind Psychotherapy. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for A Healing Mind Psychotherapy was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# A Healing Mind Psychotherapy · NPI 1912791674
Adult Mental Health organization in Canton, Georgia. Organization record, active in the CMS NPPES registry since April 8, 2025.
## Identity
- **NPI:** 1912791674 (Entity type: Organization)
- **Enumerated:** April 8, 2025
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** John Adegboye, PSYCHOTHERAPIST
## Practice location
- **Address:** 106 BELMONT DR, Canton, GA 30115-5543
- **Phone:** (404) 593-9348
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1912791674) · Data from the CMS NPPES public registry.