Individual provider Active NPI

Maria Gomez Soler, LMFT

  • Marriage & Family Therapist
  • Atlanta, GA
National Provider Identifier
1073289914
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001890 Issued in GA
Practice address
126 Montgomery Ferry Dr NE
Atlanta, GA 30309-2713
Phone
(203) 539-1521
NPI assigned
Aug 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFT001890 GA Primary

Addresses

Primary practice location

126 Montgomery Ferry Dr NE
Atlanta, GA 30309-2713

Mailing address

126 Montgomery Ferry Dr NE
Atlanta, GA 30309-2713
Phone (203) 539-1521

Other practice location 1

1720 Peachtree St NW Ste 510
Atlanta, GA 30309-2462
Phone (203) 539-1521

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
MFT001890GAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1073289914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MONTGOMERY FERRY DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092713",
            "telephone_number": "203-539-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MONTGOMERY FERRY DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092713",
            "telephone_number": "203-539-1521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 Peachtree St NW Ste 510",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303092462",
            "country_code": "US",
            "telephone_number": "203-539-1521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ SOLER",
        "first_name": "MARIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.