Individual provider Active NPI

Lauteasha Lancaster, MS

  • Marriage & Family Therapist
  • Roswell, GA
National Provider Identifier
1003438532
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1755 Woodstock Rd Ste 200
Roswell, GA 30075-2135
Phone
(770) 910-2753
NPI assigned
May 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X GA Primary

Addresses

Primary practice location

1755 Woodstock Rd Ste 200
Roswell, GA 30075-2135

Mailing address

2465 Vistoria Dr
Cumming, GA 30041-1579
Phone (770) 910-2753

Other names 1

  • Lauteasha Williams Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@bluelotusfamilytherapy.com Direct

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Lotus Family Therapy Current Accepting new patients
Wellqor Psychological Services, PC Past Accepting new patients

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": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1003438532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 VISTORIA DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300411579",
            "telephone_number": "770-910-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 WOODSTOCK RD STE 200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752135",
            "telephone_number": "770-910-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "LAUTEASHA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@bluelotusfamilytherapy.com",
            "affiliation": "N",
            "endpointDescription": "hippa web",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "hippa web",
            "address_1": "1755 Woodstock Rd Ste 200",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300752135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAUTEASHA",
            "last_name": "WILLIAMS",
            "credential": "MARRIED  NAME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.