NPI age
6 years
Enumerated 2019-07-02
● Active
Type 1 · Individual
Deaetta Grinnage, LPC
Grinnage is 1 of 35 counselor providers in Loganville and 1 of 5527 in Georgia.
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-01-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5527 active counselor providers in Georgia.
NPI age
6 years
≈ at median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-07Enumerated in NPPES
2019
2026
Where they practice
Practice location
299 Cooper Rd Ste B
Loganville, GA 300522579
Mailing address
3711 Wynship Ct
Snellville, GA 300396799
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1017 Fayetteville Rd Se
Atlanta, GA 303162932
Specialties
-
Counselor PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | LPC013200 | PROFESSIONAL COUNSELOR LICENSE |
Practice context
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
Recently enumerated nearby: 4 new counselor providers have been added in Loganville in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.