Innovative Therapy Group
NPI 1154193142 · Mental Health Clinic/Center (Including Community Mental Health Center) · Lithia Springs, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innovative Therapy Group is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Lithia Springs, GA (NPI 1154193142).
Provider details
- NPI number
- 1154193142
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Juan Zermeno Desantos, Program Director(404) 290-6786
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-10-24
- Last updated
- 2023-10-24
- Certified
- 2023-10-24
Frequently asked questions
- What is Innovative Therapy Group's NPI number?
- Innovative Therapy Group's National Provider Identifier (NPI) is 1154193142, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Therapy Group?
- Innovative Therapy Group is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Innovative Therapy Group located?
- Innovative Therapy Group's practice location on file with NPPES is 690 Thornton Way Ste a, Lithia Springs, GA 30122-2614.
- What is Innovative Therapy Group's phone number?
- The practice phone number listed in the NPPES registry for Innovative Therapy Group is (678) 324-0654.
- Does Innovative Therapy Group accept Medicare?
- Innovative Therapy Group is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Innovative Therapy Group?
- The authorized official listed on Innovative Therapy Group's NPPES record is Juan Zermeno Desantos, Program Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Therapy Group's NPI active?
- Yes — Innovative Therapy Group's NPI (1154193142) is active in the NPPES registry as of the last update on 2023-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.