Individual provider Active NPI

Marta Greer, M.A.

  • Pastoral Counselor
  • Stockbridge, GA
National Provider Identifier
1063818664
Registry record updated Nov 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
11137215 Issued in GA
Practice address
3887 Walt Stephens Rd
Stockbridge, GA 30281-4222
Phone
(770) 371-6191
NPI assigned
Nov 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X 11137215 GA Primary

Addresses

Primary practice location

3887 Walt Stephens Rd
Stockbridge, GA 30281-4222

Mailing address

3887 Walt Stephens Rd
Stockbridge, GA 30281-4222
Phone (770) 371-6191

Other names 1

  • Miss Divine Kingdom Counseling Professional 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
11137215GAMDPastoral Counselor

NPI Registry JSON

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

{
    "created_epoch": "1415404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415404800000",
    "number": "1063818664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3887 WALT STEPHENS RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814222",
            "telephone_number": "770-371-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3887 WALT STEPHENS RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814222",
            "telephone_number": "770-371-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "MARTA",
        "name_prefix": "Miss",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-08",
        "last_updated": "2014-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "GA",
            "license": "11137215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIVINE",
            "last_name": "COUNSELING",
            "middle_name": "KINGDOM",
            "prefix": "MISS",
            "credential": "COUNSELING",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2014; 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.