Organization Active NPI

Neurotherapy Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marietta, GA
National Provider Identifier
1013410612
Registry record updated Mar 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
009495 Issued in GA
Legal business name
NEUROTHERAPY ASSOCIATES, LLC
Practice address
540 Powder Springs St Ste E31
Marietta, GA 30064-3563
Phone
(470) 217-7324
NPI assigned
Mar 10, 2018
Last updated
Mar 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2018

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

Authorized official

Name
Alexander Kohl, PHD, LPCNPI 1972971521
Title
Licensed Professional Counselor
Phone
(470) 217-7347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 009495 GA Primary

Addresses

Primary practice location

540 Powder Springs St Ste E31
Marietta, GA 30064-3563

Mailing address

540 Powder Springs St Ste E31
Marietta, GA 30064-3563
Phone (470) 217-7324

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1520640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520640000000",
    "number": "1013410612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 POWDER SPRINGS ST STE E31",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643563",
            "telephone_number": "470-217-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 POWDER SPRINGS ST STE E31",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643563",
            "telephone_number": "470-217-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROTHERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-10",
        "last_updated": "2018-03-10",
        "status": "A",
        "authorized_official_last_name": "KOHL",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "470-217-7347",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": "009495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2018; 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.