Active NPI
Hetal Patel, MASTERS ASSOCIATE
- Counselor
- Cumming, GA
National Provider Identifier
1023299963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC005135
- Practice address
- 110 Samaritan Dr. Suite 203
Suite 203
Cumming, GA 30040-3004 - Phone
- (229) 454-0953
- Fax
- (229) 346-3665
- NPI assigned
- Nov 20, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 001300 | GA | |
| Counselor | 101Y00000X | LPC005135 | GA | Primary |
Addresses
Primary practice location
110 Samaritan Dr. Suite 203
Suite 203
Cumming, GA 30040-3004
Mailing address
4435 Balsam Bark Dr
Cumming, GA 30028-3612
Phone (229) 454-0953
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC005135 | Other | GA | LPC |
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 |
|---|---|---|---|
| 001300 | GA | MD | Counselor |
| LPC005135 | GA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1023299963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4435 BALSAM BARK DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300283612",
"telephone_number": "229-454-0953",
"fax_number": "229-890-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 SAMARITAN DR. SUITE 203",
"address_2": "SUITE 203",
"city": "CUMMING",
"state": "GA",
"postal_code": "300403004",
"telephone_number": "229-454-0953",
"fax_number": "229-346-3665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "HETAL",
"name_prefix": "Mrs.",
"credential": "MASTERS ASSOCIATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-20",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "001300",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "LPC005135",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC",
"identifier": "LPC005135",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.