Active NPI
Audrey Rebecca Lanier, MA, LPC, LMFT
- Marriage & Family Therapist
- Marietta, GA
National Provider Identifier
1023701851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT001996
- Practice address
- 1640 Powers Ferry Rd SE Ste 150
Marietta, GA 30067-5491 - Phone
- (770) 726-9624
- NPI assigned
- May 29, 2023
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC013558 | GA | |
| Marriage & Family Therapist | 106H00000X | LMFT001996 | GA | Primary |
Addresses
Primary practice location
1640 Powers Ferry Rd SE Ste 150
Marietta, GA 30067-5491
Mailing address
1640 Powers Ferry Rd SE Ste 150
Marietta, GA 30067-5491
Phone (770) 726-9624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 1, 2024 through Feb 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC013558 | GA | MD | Professional Counselor |
| LMFT001996 | GA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685318400000",
"number": "1023701851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 POWERS FERRY RD SE STE 150",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300675491",
"telephone_number": "770-726-9624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 POWERS FERRY RD SE STE 150",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300675491",
"telephone_number": "770-726-9624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANIER",
"first_name": "AUDREY",
"middle_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "MA, LPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-29",
"last_updated": "2023-05-29",
"certification_date": "2023-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC013558",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "LMFT001996",
"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 May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.