Active NPI
Stephanie Leoni, LPC
- Professional Counselor
- Alpharetta, GA
National Provider Identifier
1003070913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC005043
- Practice address
- 4575 Webb Bridge Road
#4301
Alpharetta, GA 30023 - Phone
- (678) 313-6721
- Fax
- (678) 281-7767
- NPI assigned
- Jul 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC005043 | GA | Primary |
Addresses
Primary practice location
4575 Webb Bridge Road
#4301
Alpharetta, GA 30023
Mailing address
4575 Webb Bridge Rd Unit 4301
Alpharetta, GA 30023-0492
Phone (678) 313-6721
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC005043 | Other | GA | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC005043 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Counseling Services, LLC | Professional | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Alpharetta, GA
- NPI 1073188330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630627200000",
"number": "1003070913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4575 WEBB BRIDGE RD UNIT 4301",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300230492",
"telephone_number": "678-313-6721",
"fax_number": "678-281-7767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4575 WEBB BRIDGE ROAD",
"address_2": "#4301",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "30023",
"telephone_number": "678-313-6721",
"fax_number": "678-281-7767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONI",
"first_name": "STEPHANIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2021-09-03",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005043",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "LPC005043",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.