Individual provider Active NPI

Nicholas Robert Marzo, LPC, LMHC, CST-S, AC

  • Counselor
  • Chamblee, GA
National Provider Identifier
1073023164
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC004808 Issued in GA
Practice address
3720 Chamblee Dunwoody Rd Ste D2
Chamblee, GA 30341-2064
Phone
(678) 802-9355
NPI assigned
Oct 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC004808 GA Primary
Mental Health Counselor 101YM0800X MH7359 FL

Addresses

Primary practice location

3720 Chamblee Dunwoody Rd Ste D2
Chamblee, GA 30341-2064

Mailing address

3228 Wakefield St
Lawrenceville, GA 30044-5677
Phone (404) 313-9962

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

LicenseStateTypeSpecialty
LPC004808GAMDCounselor
MH7359FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Path. LLC Counselor Current Accepting new patients

Locations

3720 Chamblee Dunwoody Rd
Ste D2
Chamblee, GA 30341
Phone (404) 532-9497

5440 Lawrenceville Hwy NW
Lilburn, GA 30047
Phone (678) 802-9355

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": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1073023164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 WAKEFIELD ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445677",
            "telephone_number": "404-313-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 CHAMBLEE DUNWOODY RD STE D2",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412064",
            "telephone_number": "678-802-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZO",
        "first_name": "NICHOLAS",
        "middle_name": "ROBERT",
        "credential": "LPC, LMHC, CST-S, AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-03",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC004808",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chamblee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.