Active NPI
Lauren McCutchen Dack, LPC, LMFT
- Professional Counselor
- Alpharetta, GA
National Provider Identifier
1023831492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- MFT1280
- Practice address
- 5755 N Point Pkwy Ste 248
Alpharetta, GA 30022-1173 - Phone
- (404) 913-1102
- NPI assigned
- Nov 5, 2024
- Last updated
- Nov 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MFT1280 | GA | Primary |
Addresses
Primary practice location
5755 N Point Pkwy Ste 248
Alpharetta, GA 30022-1173
Mailing address
275 Seale LN
Alpharetta, GA 30022-6137
Phone (770) 695-6811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 15, 2024 through Aug 15, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT1280 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1023831492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 SEALE LN",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300226137",
"telephone_number": "770-695-6811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5755 N POINT PKWY STE 248",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300221173",
"telephone_number": "404-913-1102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DACK",
"first_name": "LAUREN",
"middle_name": "MCCUTCHEN",
"credential": "LPC, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-05",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "MFT1280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
- Cytometry Specialists, Inc.
- D & C Medical Diagnostic Services, LLC
- D.a.H. Best Healthcare Services and Consulting LLC
- Mary Genevieve D'Agostino, CRNA
- Mary Frances D'Ambrisi, LPC
- Courtney Dailey, SLP
- Lacy Dake
- Mary Catherine Daker, RN, CNM
- Dalmore Dental Ventures LLC (Ivry Dental - Alpharetta)
- Stuart Daly, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.