Individual provider Active NPI

Saundria C. Zomalt

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1033431481
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC010974 Issued in GA
Practice address
4200 Northside Pkwy NW BLDG 6
Atlanta, GA 30327-3007
Phone
(562) 668-3557
NPI assigned
Feb 25, 2010
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC1843 CA
Rehabilitation Practitioner 225400000X
Mental Health Counselor 101YM0800X LPC010974 GA Primary

Addresses

Primary practice location

4200 Northside Pkwy NW BLDG 6
Atlanta, GA 30327-3007

Mailing address

4200 Northside Pkwy NW BLDG 6
Atlanta, GA 30327-3007
Phone (562) 668-3557

Other practice location 1

6770 N Paramount Blvd
Unit #A
Long Beach, CA 90805-1902
Phone (562) 668-3557

Other identifiers 1

IdentifierTypeStateIssuer
LPC010974OtherGAGA BOARD OF PROFESSIONAL COUNSELORS

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

LicenseStateTypeSpecialty
LPCC1843CAMDMental Health Counselor
LPC010974GAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1033431481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 NORTHSIDE PKWY NW BLDG 6",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303273007",
            "telephone_number": "562-668-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NORTHSIDE PKWY NW BLDG 6",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303273007",
            "telephone_number": "562-668-3557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6770 N Paramount Blvd",
            "address_2": "Unit #A",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908051902",
            "country_code": "US",
            "telephone_number": "562-668-3557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOMALT",
        "first_name": "SAUNDRIA",
        "middle_name": "C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC1843",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC010974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA BOARD OF PROFESSIONAL COUNSELORS",
            "identifier": "LPC010974",
            "state": "GA"
        }
    ],
    "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 Mar 12, 2025; 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.