Individual provider Active NPI

Angela Sumrall, MA, LPC

  • Professional Counselor
  • Marietta, GA
National Provider Identifier
1053799445
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC008235 Issued in GA
Practice address
1355 Terrell Mill Rd SE
Building 1460, Suite 205
Marietta, GA 30067-5496
Phone
(404) 439-9981
Fax
(678) 214-5591
NPI assigned
May 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC008235 GA Primary

Addresses

Primary practice location

1355 Terrell Mill Rd SE
Building 1460, Suite 205
Marietta, GA 30067-5496

Mailing address

1355 Terrell Mill Rd SE
Building 1460, Suite 205
Marietta, GA 30067-5496
Phone (404) 439-9981

Other names 1

  • Angela Lindroos Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
LPC008235GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1053799445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 TERRELL MILL RD SE",
            "address_2": "BUILDING 1460, SUITE 205",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675496",
            "telephone_number": "404-439-9981",
            "fax_number": "678-214-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 TERRELL MILL RD SE",
            "address_2": "BUILDING 1460, SUITE 205",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675496",
            "telephone_number": "404-439-9981",
            "fax_number": "678-214-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMRALL",
        "first_name": "ANGELA",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "LINDROOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 18, 2015; 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.