Michael Pepper, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

012552 Issued in GA

Practice address

2302 Parklake Dr NE Ste 425
Atlanta, GA 30345-2966

Phone

(404) 919-4215

NPI assigned

Oct 15, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1063232908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 PARKLAKE DR NE STE 425",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452966",
            "telephone_number": "404-919-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 PARKLAKE DR NE STE 425",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452966",
            "telephone_number": "404-919-4215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "647 E College Ave",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300304148",
            "country_code": "US",
            "telephone_number": "404-919-4215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEPPER",
        "first_name": "MICHAEL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "012552",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "012552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aiyasia Peoples
• Reba Denise Peoples, M.D.
• Bonnie S Pepper, C.P.N.P.
• Kara J. Pepper, MD
• Katherine Pepper
• Paula R Peppers, CPNP-PC
• Mavis O. Peprah, AGNP-C
• Jason Peragallo, MD
• Nancy Lee Peralta, RN, NP
• Justine Monet Peranich, BCBA

• Professional Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.