Individual provider Active NPI

Line Garant Fleming

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1053994368
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
002837 Issued in GA
Practice address
8800 Roswell Rd Ste 2450
Atlanta, GA 30350-1826
Phone
(404) 719-4233
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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 002837 GA Primary

Addresses

Primary practice location

8800 Roswell Rd Ste 2450
Atlanta, GA 30350-1826

Mailing address

1000 Jefferson St Ste 2C
Lynchburg, VA 24504-1724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250326003203 GA Practitioner - Mental Health Counselor 9638692064 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002837GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Summit Counseling Center, Inc. CurrentSince Feb 4, 2025 Accepting new patients

Locations

3800 Mansell Rd
Ste 100
Alpharetta, GA 30022

4600 Nelson Brogdon Blvd
Buford, GA 30518
Phone (678) 467-6014

1548 Mount Vernon Rd
Dunwoody, GA 30338

2750 Old Alabama Rd
Ste 200
Johns Creek, GA 30022
Phone (678) 336-3260

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1053994368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JEFFERSON ST STE 2C",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 ROSWELL RD STE 2450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303501826",
            "telephone_number": "404-719-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "LINE",
        "middle_name": "GARANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "002837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.