Active NPI
Nancy W. Loeb, L.P.C.
- Mental Health Counselor
- Atlanta, GA
National Provider Identifier
1073534327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1688
- Practice address
- 5825 Glenridge Dr NE
BLDG. 2, Ste. 120
Atlanta, GA 30328-5387 - Phone
- (770) 417-2732
- Fax
- (404) 303-8488
- NPI assigned
- Jul 22, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1688 | GA | Primary |
Addresses
Primary practice location
5825 Glenridge Dr NE
BLDG. 2, Ste. 120
Atlanta, GA 30328-5387
Mailing address
5825 Glenridge Dr NE
BLDG. 2, Ste. 120
Atlanta, GA 30328-5387
Phone (770) 417-2732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L.P.C. 1688 | Other | GA | LICENSED PROFESSIONAL COU |
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 |
|---|---|---|---|
| 1688 | GA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073534327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5825 GLENRIDGE DR NE",
"address_2": "BLDG. 2, STE. 120",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285387",
"telephone_number": "770-417-2732",
"fax_number": "404-303-8488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5825 GLENRIDGE DR NE",
"address_2": "BLDG. 2, STE. 120",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285387",
"telephone_number": "770-417-2732",
"fax_number": "404-303-8488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOEB",
"first_name": "NANCY",
"middle_name": "W.",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "1688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COU",
"identifier": "L.P.C. 1688",
"state": "GA"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.