Individual provider Active NPI

Olga Anastasia Attebery, LAPC

  • Marriage & Family Therapist
  • Decatur, GA
National Provider Identifier
1003580119
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
315 W Ponce de Leon Ave Ste 370
Decatur, GA 30030-2476
Phone
(770) 954-5476
NPI assigned
Aug 3, 2021
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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 Primary

Addresses

Primary practice location

315 W Ponce de Leon Ave Ste 370
Decatur, GA 30030-2476

Mailing address

315 W Ponce de Leon Ave Ste 370
Decatur, GA 30030-2476
Phone (770) 954-5476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 9, 2025 through Jun 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jaime Filler LMFT, LLC Marriage & Family Therapist CurrentSince Aug 7, 2022 Accepting new patients

Locations

1549 Clairmont Rd
Ste 203
Decatur, GA 30033
Phone (678) 726-5134

315 W Ponce de Leon Ave
Ste 370
Decatur, GA 30030
Phone (404) 281-5422

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1003580119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE STE 370",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302476",
            "telephone_number": "770-954-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE STE 370",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302476",
            "telephone_number": "770-954-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTEBERY",
        "first_name": "OLGA",
        "middle_name": "ANASTASIA",
        "credential": "LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.