NPIMap

Organization Active NPI

Modern Path. LLC

  • Counselor
  • Atlanta, GA
National Provider Identifier
1023533106
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC004808 Issued in GA
Legal business name
MODERN PATH. LLC
Practice address
3720 Chamblee Dunwoody Rd Ste D2
Atlanta, GA 30341-2064
Phone
(678) 802-9355
NPI assigned
Aug 9, 2017
Last updated
Jul 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Nicholas M Marzo, LPC, LMHC
Title
Owner
Phone
(678) 802-9355

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC004808 GA Primary
Mental Health Counselor 101YM0800X MH7359 FL

Addresses

Primary practice location

3720 Chamblee Dunwoody Rd Ste D2
Atlanta, GA 30341-2064

Mailing address

3720 Chamblee Dunwoody Rd Ste D2
Atlanta, GA 30341-2064
Phone (678) 802-9355

National Provider Directory

National Provider Directory

Locations

3720 Chamblee Dunwoody Rd
Ste D2
Chamblee, GA 30341
Phone (404) 532-9497

5440 Lawrenceville Hwy NW
Lilburn, GA 30047
Phone (678) 802-9355

Practitioners & affiliated clinicians

Practitioners 12

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": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1023533106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 CHAMBLEE DUNWOODY RD STE D2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303412064",
            "telephone_number": "678-802-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 CHAMBLEE DUNWOODY RD STE D2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303412064",
            "telephone_number": "678-802-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN PATH. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "MARZO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-802-9355",
        "authorized_official_credential": "LPC, LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC004808",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.