Individual provider Active NPI

Haylee Lauren Magnicheri, ED.S, LPC, RPT

  • Professional Counselor
  • Chatsworth, GA
National Provider Identifier
1083330161
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC013242 Issued in GA
Practice address
279 Skylark Dr
Chatsworth, GA 30705-5564
Phone
(678) 767-0340
NPI assigned
Oct 19, 2022
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC013242 GA Primary

Addresses

Primary practice location

279 Skylark Dr
Chatsworth, GA 30705-5564

Mailing address

279 Skylark Dr
Chatsworth, GA 30705-5564
Phone (678) 767-0340

Other names 1

  • Haylee Magnicheri Fowler Former 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

State licenses

LicenseStateTypeSpecialty
LPC013242GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1083330161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 SKYLARK DR",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307055564",
            "telephone_number": "678-767-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 SKYLARK DR",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307055564",
            "telephone_number": "678-767-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNICHERI",
        "first_name": "HAYLEE",
        "middle_name": "LAUREN",
        "credential": "ED.S, LPC, RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAYLEE",
            "last_name": "FOWLER",
            "middle_name": "MAGNICHERI",
            "credential": "M.ED, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chatsworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.