Active NPI
Lauren Greenway, LPC
- Professional Counselor
- Suwanee, GA
National Provider Identifier
1053855858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 007886
- Practice address
- 3465 Lawrenceville Suwanee Rd
Suite a
Suwanee, GA 30024-7465 - Phone
- (478) 731-6146
- NPI assigned
- Dec 13, 2016
- 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 | 007886 | GA | Primary |
Addresses
Primary practice location
3465 Lawrenceville Suwanee Rd
Suite a
Suwanee, GA 30024-7465
Mailing address
3465 Lawrenceville Suwanee Rd
Suite a
Suwanee, GA 30024-7465
Phone (478) 731-6146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 4, 2024 through Jan 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007886 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481587200000",
"number": "1053855858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3465 LAWRENCEVILLE SUWANEE RD",
"address_2": "SUITE A",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300247465",
"telephone_number": "478-731-6146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3465 LAWRENCEVILLE SUWANEE RD",
"address_2": "SUITE A",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300247465",
"telephone_number": "478-731-6146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWAY",
"first_name": "LAUREN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-13",
"last_updated": "2016-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "007886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.