Active NPI
Larvitta Shawnet Bailey, LPC
- Professional Counselor
- Sandy Springs, GA
National Provider Identifier
1063299501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC014231
- Practice address
- 1200 Altmore Ave Ste 200
Sandy Springs, GA 30342-2495 - Phone
- (770) 282-7123
- NPI assigned
- Sep 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | LPC014231 | GA | Primary |
Addresses
Primary practice location
1200 Altmore Ave Ste 200
Sandy Springs, GA 30342-2495
Mailing address
7413 Chastain Dr NE
Atlanta, GA 30342-4184
Phone (770) 231-9490
Other practice location 1
1720 Peachtree St NE
Suite 510
Atlanta, GA 30309-0007
Phone (770) 282-7123
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 |
|---|---|---|---|
| LPC014231 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701993600000",
"number": "1063299501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7413 CHASTAIN DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303424184",
"telephone_number": "770-231-9490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 ALTMORE AVE STE 200",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303422495",
"telephone_number": "770-282-7123"
}
],
"practiceLocations": [
{
"address_1": "1720 Peachtree St NE",
"address_2": "Suite 510",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303090007",
"country_code": "US",
"telephone_number": "770-282-7123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILEY",
"first_name": "LARVITTA",
"middle_name": "SHAWNET",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-08",
"last_updated": "2023-12-08",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC014231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.