Individual provider Active NPI

Inge C Luechinger, APRNPMH

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Conyers, GA
National Provider Identifier
1003001843
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
RN079843 CNS/PMH Issued in GA
Practice address
1269 Parker Rd SE
Conyers, GA 30094-5957
Phone
(678) 438-4733
Fax
(770) 761-9070
NPI assigned
Sep 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X RN079843 CNS/PMH GA Primary

Addresses

Primary practice location

1269 Parker Rd SE
Conyers, GA 30094-5957

Mailing address

1269 Parker Rd SE
Conyers, GA 30094-5957
Phone (678) 438-4233

Other practice location 1

24 Chechero St Ste 2
Clayton, GA 30525-6181
Phone (678) 438-4233

Other identifiers 1

IdentifierTypeStateIssuer
609588713AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050301000433 GA Practitioner - Certified Clinical Nurse Specialist (CNS) 5597718650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1269 Parker Rd SE
Conyers, GA 30094-5957

24 Chechero St
Suite 2
Clayton, GA 30525-6181
Phone (678) 428-4233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
RN079843 CNS/PMHGAMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Inge Luechinger Family Therapy PC CurrentSince Jan 17, 2013 Accepting new patients
Jill Osborne, LPC, LLC PastSince Dec 9, 2019 Accepting new patients

Locations

1269 Parker Rd SE
Ste 3D
Conyers, GA 30094
Phone (678) 438-4233

1269 Parker Rd SE
Conyers, GA 30094
Phone (404) 234-0546

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1003001843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 PARKER RD SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945957",
            "telephone_number": "678-438-4233",
            "fax_number": "770-761-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 PARKER RD SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945957",
            "telephone_number": "678-438-4733",
            "fax_number": "770-761-9070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Chechero St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "GA",
            "postal_code": "305256181",
            "country_code": "US",
            "telephone_number": "678-438-4233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUECHINGER",
        "first_name": "INGE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "APRNPMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN079843 CNS/PMH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609588713A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.