Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Juanessa Donyale Booker, LPC, EDD

Individual provider Professional Counselor · NPI 1831854827

Dr. Juanessa Donyale Booker, LPC, EDD is a Mental Health Counselor in Fairburn, Georgia. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2021
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
EDD — Doctor of Education
A doctorate in education.

See every abbreviation used in this directory →

Practice location Address checks out

725 Small Elk Ct
Fairburn, GA 30213-1022
Phone: (470) 771-2645
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 011933 (GA)

Record details

NPI number1831854827
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , EDD
Sole proprietorYes
NPI enumeratedNovember 3, 2021
Last updated in NPPESNovember 3, 2021
Certification dateNovember 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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