Active NPI
Neurotherapy Associates, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Marietta, GA
National Provider Identifier
1013410612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 009495
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexander Kohl, PHD, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Professional Counselor
- Marietta, GA
- NPI 1972971521
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.