Active NPI
Barbara H Marshall, LPC
- Professional Counselor
- Clayton, GA
National Provider Identifier
1053452565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC 002523
- Practice address
- 109 Old Livery Street
Clayton, GA 30525 - Phone
- (706) 782-0717
- Fax
- (706) 782-5266
- NPI assigned
- Feb 8, 2007
- Last updated
- Mar 13, 2023
- 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 | LPC 002523 | GA | Primary |
Addresses
Primary practice location
109 Old Livery Street
Clayton, GA 30525
Mailing address
PO Box 1689
Clayton, GA 30525-0043
Phone (706) 782-0717
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10045585 | Other | GA | CMO AMERIGROUP |
| 743738-000 | Other | GA | CMO MAGELLAN WELLCARE |
| 230045532A | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 002523 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Art Therapy Center PC | Professional | Current | Accepting new patients |
| Family Art Therapy Center | Past | Accepting new patients |
Locations
44 Cottonwood St
Clayton, GA 30525
Phone (706) 490-3149
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Clayton, GA
- NPI 1609916147
-
- Community/Behavioral Health Agency
- Clayton, GA
- NPI 1154464006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1053452565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1689",
"city": "CLAYTON",
"state": "GA",
"postal_code": "305250043",
"telephone_number": "706-782-0717",
"fax_number": "706-782-5266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 OLD LIVERY STREET",
"city": "CLAYTON",
"state": "GA",
"postal_code": "30525",
"telephone_number": "706-782-0717",
"fax_number": "706-782-5266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "BARBARA",
"middle_name": "H",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2023-03-13",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC 002523",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMO AMERIGROUP",
"identifier": "10045585",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMO MAGELLAN WELLCARE",
"identifier": "743738-000",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "230045532A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clayton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.