Individual provider Active NPI

Christina Dianne Conti, LAPC, NCC, M.ED

  • Counselor
  • Canton, GA
National Provider Identifier
1043914260
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
APC008664 Issued in GA
Practice address
310 Paper Trail Way Ste 108
Canton, GA 30115-5204
Phone
(678) 880-4645
NPI assigned
Mar 30, 2023
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X APC008664 GA Primary

Addresses

Primary practice location

310 Paper Trail Way Ste 108
Canton, GA 30115-5204

Mailing address

310 Paper Trail Way Ste 106
Canton, GA 30115-5204

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
APC008664GAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1043914260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 PAPER TRAIL WAY STE 106",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301155204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 PAPER TRAIL WAY STE 108",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301155204",
            "telephone_number": "678-880-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTI",
        "first_name": "CHRISTINA",
        "middle_name": "DIANNE",
        "credential": "LAPC, NCC, M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "APC008664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.